Sepsis shock — DipIMC MCQ
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Correct answer: D — Give oxygen if needed, consider cautious IV fluid and pre-alert for sepsis
Option D is correct because Hypotension, tachypnoea and confusion suggest high-risk sepsis needing urgent transfer and supportive care. Option E is less appropriate because watchful waiting risks deterioration or delays definitive care; option B is less appropriate because the clinical risk exceeds that destination or timeframe. Option A is less appropriate because it is plausible in a different scenario but suboptimal for the features described; option C is less appropriate because analgesia is important but not sufficient as the primary intervention. Clinical pearl: in DipIMC-style questions, the best answer is the intervention that changes outcome earliest in the pre-hospital phase.
Reference: JRCALC Guidelines; NICE Sepsis guidance