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

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?

Hello everyone! My name is Wanda, I am Brazilian, a lawyer in Brazil and with a legal degree ratified in Europe. However, I currently have a new profession here in Norway; I am a nursing assistant and I work in a nursing home.

Here is a Google Drive link to a folder that I have put all sorts of medical information in (case studies, short course paramedic protocol books and more). This is all South African orientated information. https://drive.google.com/drive/folders/1C_DrPF61OCOWAhUsAaj13jtHFmrAEswS?usp=sharing

I have a professional background spanning across emergency medicine, prehospital care, and operational preparedness, with experience across healthcare, maritime, offshore, and rescue environments. My work is grounded in the reality that critical incidents rarely occur under ideal conditions—and that effective medical response requires both clinical expertise and a deep understanding of operational context. My experience includes work in ambulance and prehospital services, emergency and acute care, as well as training and advisory roles within high-risk industries and public-sector preparedness. I have worked closely with healthcare personnel, rescue services, maritime and offshore crews, and decision-makers, contributing to education, simulation-based training, and the development of practical medical and preparedness concepts. I am particularly focused on translating medical knowledge into realistic, operationally relevant practice. This includes bridging the gap between hospital-based emergency medicine and prehospital, maritime, and remote settings—where time, resources, and environment place unique demands on clinical decision-making. My approach emphasizes patient safety, structured decision-making, interdisciplinary cooperation, and learning from real incidents. Whether through training, advisory work, or concept development, my goal is to strengthen individual competence and organizational readiness, ensuring robust medical response when it matters most.