Puerperal sepsis with suspected group A Streptococcus — recognise-and-treat station

Station brief

Format. Recognise-and-treat station, approximately 12 minutes. You are the registrar on the postnatal ward. The assessor feeds you deteriorating observations. The hazard is the triage label "gastroenteritis" or "wound pain" — this woman has invasive group A streptococcal disease until proven otherwise, and the antibiotic must be given within the hour. [2]

Candidate instruction. Recognise and manage puerperal sepsis. Verbalise the bundle, the antibiotic regimen with the antitoxin addition, your source-control plan, your escalation to intensive care, and your communication with the woman and team. [1]