You are asked to review an unwell 64-year-old male in your emergency department. A quick review of previous records reveals a history of hypertension, obesity, alcohol dependence, type 2 diabetes, and diverticulitis. He lives in a low-level care nursing home. The patient had an abdominal CT. His observations are:

  • Temp 40.2 °C
  • HR 143 bpm
  • BP 71/35 mmHg
  • RR 40 bpm
SaO2 92% RA
  • GCS 9 (E2V2M5)

Fever and groin pain

1. State the diagnosis (1 mark) 1 mark

2. What are (2) specific CT findings on the image provided which led to your diagnosis? (2 marks) 2 marks

The patient is not protecting his airway.

3. List (3) steps/considerations regarding resuscitation and safe intubation of this patient including rationale/dosing and targets. (6 marks) 6 marks

4. Given the patient is for full resuscitation, state the specific emergency management for this condition, including dosing if relevant. (3 marks) 3 marks