Ethical And Legal Responsibilities Of The Paramedic During Administering Antibiotics Pre Hospital For Meningococcal Disease

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This paper is about identifying the pre-hospital use of Benzylpenicillin and identifying the evidence behind its use. It will also look and compare dugs used for treating meningococcal disease and discuss the evidence for and against these drugs and see which one promotes the best recovery. Finally this paper will discuss professional, ethical and legal responsibilities of the paramedic in administering antibiotics pre-hospital for meningococcal disease.
Benzylpenicillin is a broad spectrum antibiotic. The pre-hospital indication to use the drug are suspected meningococcal disease with the presence of a non-blanching rash and signs and symptoms suggestive of meningococcal meningitis and septicaemia. (Fisher, J 2013)
Studies suggest that by the time an ambulance is called, the patient is normally late stage septicaemia and have most likely already sought help from GP earlier in the day. The patients symptoms can initially present similar to influenza, so meningitis can often get missed. (Nursing Times, 2014)

Pre-hospital use of Benzylpenicillin
There is limited evidence for the pre-hospital use of Benzylpenicillin. Using medical search engines/databases including PubMed &, searching for adults, Benzylpenicillin & pre-hospital bought back very limited appropriate articles. One study found showing the use of Benzylpenicillin pre-hospital came back quite disappointing. The number of cases audited was low and the majority of the information was
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