A 4-year-old boy presents to your urban district Emergency Department with a one-day history of fever, lethargy, and vomiting. His parents noticed a rapidly spreading rash over his legs and trunk a few hours ago. On arrival he is drowsy. Observations:

  • HR 165 bpm BP 78/45 mmHg RR 38 /min SpO₂ 90% RA T 39.8 °C

Meningococcal sepsis in child

1. Outline (5) immediate priorities in your management. 5 marks

2. List (4) SPECIFIC investigations you might undertake to confirm the likely organism. 4 marks

3. State important measures required for infection control. 3 marks