Question

A 62-year-old man with fever, hypotension (MAP 54 mm Hg), lactate 5.2 mmol/L, and suspected pneumonia arrives in the ED. Which initial step is recommended as part of the hour-1/early resuscitation bundle?

Accepted Answer

Administer 30 mL/kg IV crystalloid within the first 3 hours

Answer

Start vasopressin as the first-line vasopressor

Answer

Delay antibiotics until blood culture results return

Answer

Target MAP >75 mm Hg with high-dose phenylephrine

Answer

Give hydroxyethyl starch 6% 30 mL/kg

Practice question

A 62-year-old man with fever, hypotension (MAP 54 mm Hg), lactate 5.2 mmol/L, and suspected pneumonia arrives in the ED. Which initial step is recommended as part of the hour-1/early resuscitation bundle?