An Indigenous elder with urosepsis is in the ED. He asks for his daughter and a hospital Indigenous patient navigator before consenting to admission.

Question

An Indigenous elder with urosepsis is in the ED. He asks for his daughter and a hospital Indigenous patient navigator before consenting to admission. Blood pressure is 92/54 mmHg, lactate is 3.2 mmol/L, and antibiotics are ready. What is the most appropriate next step?

Accepted Answer

Provide culturally safe care by involving family/navigation support while continuing urgent sepsis treatment

Answer

Delay antibiotics until a navigator arrives

Answer

Decline cultural supports until admission paperwork is complete

Answer

Ask security to remove family

Answer

Transfer him out because he requests traditional support

Culturally safe sepsis care for an Indigenous patient — RCPSC EM MCQ

An Indigenous elder with urosepsis is in the ED. He asks for his daughter and a hospital Indigenous patient navigator before consenting to admission. Blood pressure is 92/54 mmHg, lactate is 3.2 mmol/L, and antibiotics are ready. What is the most appropriate next step?