A 70-year-old woman is brought to the ED by ambulance. She has a temperature of 39.8° C, heart rate 132, blood pressure 80/45, respiratory rate 28, and a GCS of 13. The paramedics report she has been increasingly confused over the past 24 hours. How do you assess and manage this patient? | Interview Prep | Job Clerk
A 70-year-old woman is brought to the ED by ambulance. She has a temperature of 39.8° C, heart rate 132, blood pressure 80/45, respiratory rate 28, and a GCS of 13. The paramedics report she has been increasingly confused over the past 24 hours. How do you assess and manage this patient?
Tips to guide your answer
- This patient meets red flag sepsis criteria (NICE NG51): systolic BP <90, HR >130, altered mental state
- NEWS2 score would be very high (likely 12+), triggering an emergency response
- Sepsis Six within one hour: (1) high-flow oxygen, (2) blood cultures, (3) IV antibiotics, (4) IV fluids, (5) measure lactate, (6) measure urine output