Hi there,

I am a third year student Paramedic, studying at the University of Brighton. An 
assignment we have been given involves researching and suggesting an 
improvement our local ambulance service can make to improve patient care.

I recently attended a male suffering signs of severe sepsis. He had been 
getting progressively worse following an untreated chest infection and had been 
in the condition we found him for around 3 hours before his wife decided to 
call an Ambulance. 

We initiated a fluid challenge and took him to A&E under a blue light priority. 
Along with all our regular checks.

My thoughts from this were, had paramedics been allowed to give broad spectrum 
antibiotics, would this have been of benefit to the patient at all as apposed 
to receiving these in hospital, considering his potential to deteriorate 
rapidly? Our transport time being 20-25 minutes. And would this have given the 
hospital more time to complete other tasks required for this patient, e.g blood 
cultures, imaging etc and enable him to get the care he needs as quickly as 
possible?

I would be very grateful for your opinion on this and if you would have any 
suggestions or recommendations I could research into, on what more the 
Ambulance service can do for this group of patients?

Kind Regards,
Josie Gray

Third year student Paramedic,
University of Brighton.
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