An ED patient meets septic shock criteria: refractory hypotension after fluids and lactate 5.8 mmol/L. What is the recommended timing for antimicrobia...

Question

An ED patient meets septic shock criteria: refractory hypotension after fluids and lactate 5.8 mmol/L. What is the recommended timing for antimicrobials?

Accepted Answer

Administer broad-spectrum antibiotics within 1 hour of recognition (after obtaining cultures)

Answer

Delay antibiotics until after CT imaging

Answer

Within 3 hours of triage if cultures pending

Answer

Start after vasopressors stabilize MAP >65 mmHg

Answer

Wait for pathogen identification

Septic Shock — MRCEM SBA MCQ

An ED patient meets septic shock criteria: refractory hypotension after fluids and lactate 5.8 mmol/L. What is the recommended timing for antimicrobials?