A 38-year-old man presents to a remote clinic with fever, tachycardia and a large abscess on his thigh. He is hypotensive despite 1 L of IV crystalloi...

Question

A 38-year-old man presents to a remote clinic with fever, tachycardia and a large abscess on his thigh. He is hypotensive despite 1 L of IV crystalloid. The remote medical officer has commenced IV antibiotics and contacted the retrieval service. According to rural sepsis guidance, which additional step is most important while awaiting retrieval?

Accepted Answer

Arrange urgent local incision and drainage of the abscess if feasible

Answer

Delay source control until arrival at tertiary hospital

Answer

Switch to oral antibiotics as blood pressure is low

Answer

Stop fluids to avoid pulmonary oedema

Answer

No further action is required once retrieval is booked

au-amc MCQ (SBA): Sepsis source control in rural settings