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Sepsis — DipIMC MCQ

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EasyMedical EmergenciesSepsisDipIMC

A 75-year-old woman has a temperature of 39.2°C, confusion, respiratory rate 28, blood pressure 86/50 and a suspected urinary infection. Oxygen saturations are 92% on air. What is the most appropriate transport decision?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: BPre-alert for sepsis and transport urgently while supporting ABCs

This patient has suspected sepsis with hypotension, tachypnoea and acute confusion, requiring urgent hospital assessment and pre-alert. Paracetamol may improve comfort but must not delay transfer. Urine dipstick does not determine severity or need for resuscitation. The pearl is that altered mental state in older adults is a red flag physiological sign.

Reference: JRCALC Guidelines 2025; NICE Sepsis NG51