ADULT: What are the BLS treatment protocols for SEPSIS?

• A. Administer IV antibiotics immediately
• B. O2 saturation PRN
• C. Apply cold packs to the patient
• D. Delay transport until temperature normal

Answer: (B)

Managing sepsis in the EMS setting starts with supporting breathing and ensuring quick transport. The best action is to assess oxygen saturation and give supplemental oxygen as needed to keep SpO2 within target guidelines. Providing oxygen helps ensure tissues receive enough oxygen during the body's response to infection, which can be compromised in sepsis.

Starting IV antibiotics is not within the BLS scope and requires hospital-based care and physician oversight. Applying cold packs doesn’t address the systemic infection and isn’t indicated for sepsis management. Delaying transport until the fever normalizes is unsafe because sepsis is time-sensitive and rapid definitive care at a hospital is essential. In short, monitor and treat oxygenation with supplemental oxygen as needed and prioritize rapid transport with appropriate pre-arrival notification.