First 30 seconds
- 1ABCDE, blood cultures
- 2IV ceftriaxone 2 g + dexamethasone 10 mg IV BEFORE first dose antibiotic (or with)
- 3Add amoxicillin 2 g q4h if >50 y or immunocompromised (Listeria)
A
Airway
- • Patent? Talking? Stridor?
- • Suction, jaw-thrust, adjuncts, definitive airway if needed
B
Breathing
- • RR, SpO₂, auscultate, percuss
- • O₂ to target sats, NIV / intubate as required
C
Circulation
- • HR, BP, cap refill, JVP
- • 2× large-bore IV, bloods, monitor, ECG
D
Disability
- • AVPU/GCS, pupils, glucose, temp
E
Exposure
- • Full exposure, skin, rash, bleeding, lines, infection source
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