OK, so we have an early stage bacterial meningitis outbreak and this is going to escalate rapidly. Immediately start Antibiotic therapy. Two most likely causative pathogens - N. meningitidis (Gram neg) and S. pneumoniae (Gram pos). S. pneumoniae is most common in young adults. Rx: 3rd generation cephalosporin (Ceftriaxone or Cefotaxime 2g IV bid). Because of the high probability of S. pneumoniae as the causative agent and S. pneumoniae can be beta-lactamase producers, Vancomycin is indicated (20 mg/kg IV bid).
As I posted earlier-
Just for fun let's say the NG unit is a Company size unit at this remote FOB. Let's also assume the AO is hot and Medevac may be days away. Intel reports a large Taliban force is on the move towards the FOB. You may be able to get a resupply dropped in, but the window for that is closing fast. You need to quickly assess the medical situation and request any resupply that you might need within the hour.
So, What supplies do you request? (A personal supply of Dexedrine might not be a bad idea 'cause you are not going to get much sleep for a while
)
Do you consider prophylactic antibiotics for everyone?
What is the longer term containment/treatment plan?
What procedures do you implement to get ahead of this outbreak?
What are the recommendations to the Team Sergeant/Team Leader.
What do you recommend to the NG CO?
What effect can this medical emergency have on the tactical situation?