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
  • Temp 39.8 °C

4 year old with a rash

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