Question

A 4-year-old boy is brought to A&E with a non-blanching purpuric rash on his legs, fever and lethargy. He has a capillary refill of 4 seconds and cool peripheries. What is the single most appropriate immediate management step in the community or pre-hospital setting?

Accepted Answer

Administer intramuscular Benzylpenicillin and arrange urgent hospital transfer

Answer

Give oral Amoxicillin and review tomorrow

Answer

Apply topical steroid cream and discharge

Answer

Reassure parents and book a GP appointment in 48 hours

Answer

Give Ibuprofen and observe at home

Practice question

A 4-year-old boy is brought to A&E with a non-blanching purpuric rash on his legs, fever and lethargy. He has a capillary refill of 4 seconds and cool peripheries. What is the single most appropriate immediate management step in the community or pre-hospital setting?