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MediumEmergency MedicineSeptic Shockus-abemus-abimus-usmle-step-2us-usmle-step-3

A 72-year-old man presents to the ED with fever, confusion, tachycardia 122/min, BP 82/48 mm Hg, RR 26/min, SpO₂ 93% on room air. Lactate is 5.2 mmol/L and suspected source is pneumonia. What is the most appropriate immediate management step?

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