An ambulance is dispatched on a high-priority response following a call from family members reporting an elderly male with difficulty breathing and fever. The caller states that the patient has been unwell for several days, with significant deterioration over the past 24 hours. Upon arrival at a private residence, the patient, a 75-year-old male, is found seated and leaning forward in a chair in the living room. He appears fatigued and unwell, coughing frequently and producing yellow sputum. He is warm to the touch and visibly short of breath. The patient is awake and responsive but appears weak. Respiratory effort is increased. Auscultation reveals coarse crackles over the left lung. He appears flushed and diaphoretic. Heart rate is 115 beats per minute, blood pressure is 90/50 mmHg, respiratory rate is 28 breaths per minute, and oxygen saturation is 89% on room air. Body temperature is 38.9 °C. The patient reports cough, fever, increasing shortness of breath, and marked fatigue. He has a known history of chronic obstructive pulmonary disease and uses an inhaled bronchodilator as needed. He has no known allergies and takes no other regular medications. His last oral intake was approximately six hours prior. He reports that his cough and fever have gradually worsened over the past week. The nearest urgent care clinic is 10 minutes away, while a hospital with acute internal medicine services is approximately 30 minutes away. The patient is prepared for transport. Questions 1. Which findings in this case raise suspicion of sepsis, and why? 2. Which interventions should be prioritized in the prehospital setting to reduce the risk of further deterioration? --- Is the administration of antibiotics permitted in the prehospital setting at your workplace?

I am general physician doctor who belive that emergancy medicine must be practiced by any doctor to be a safe doctor