Question

A 54-year-old man with septic shock is in a small rural hospital with limited ICU resources. Despite 30 mL/kg crystalloid, he remains hypotensive. Which action best aligns with rural sepsis pathways?

Accepted Answer

Initiate noradrenaline via peripheral IV while arranging retrieval to higher-level care

Answer

Delay vasopressors until central line insertion by retrieval team

Answer

Discharge to home with oral antibiotics

Answer

Avoid contacting retrieval services until lactate normalises

Answer

Use only fluid resuscitation even if hypotension persists

Practice question

A 54-year-old man with septic shock is in a small rural hospital with limited ICU resources. Despite 30 mL/kg crystalloid, he remains hypotensive. Which action best aligns with rural sepsis pathways?