A 70-year-old man arrives as ESI 2 with fever, productive cough, confusion, and dyspnea. BP 88/52, HR 118, RR 32, SpO2 89% on room air, lactate is

Question

A 70-year-old man arrives as ESI 2 with fever, productive cough, confusion, and dyspnea. BP 88/52, HR 118, RR 32, SpO2 89% on room air, lactate is 4.2 mmol/L, and chest radiograph shows right lower lobe consolidation. Which of the following is the most appropriate disposition?

Accepted Answer

Admit to the intensive care unit

Answer

Place in ED observation for serial troponins

Answer

Transfer for outpatient CT chest

Answer

Discharge with next-day primary care follow-up

Answer

Discharge on oral antibiotics after oxygen improves

Severe community-acquired pneumonia — ABEM Board MCQ

A 70-year-old man arrives as ESI 2 with fever, productive cough, confusion, and dyspnea. BP 88/52, HR 118, RR 32, SpO2 89% on room air, lactate is 4.2 mmol/L, and chest radiograph shows right lower lobe consolidation. Which of the following is the most appropriate disposition?