A 70-year-old man presents to the emergency department with fever, tachycardia, hypotension and suspected pneumonia. Lactate is elevated and he is oli...

Question

A 70-year-old man presents to the emergency department with fever, tachycardia, hypotension and suspected pneumonia. Lactate is elevated and he is oliguric. According to sepsis management principles, which action is most important in the first hour?

Accepted Answer

Commence broad-spectrum intravenous antibiotics and intravenous fluids

Answer

Obtain a CT scan before treatment

Answer

Start low-dose oral antibiotics and review in 24 hours

Answer

Wait for blood culture results before antibiotics

Answer

Give corticosteroids before any other therapy

au-acem MCQ (SBA): Sepsis initial management

A 70-year-old man presents to the emergency department with fever, tachycardia, hypotension and suspected pneumonia. Lactate is elevated and he is oliguric. According to sepsis management principles, which action is most important in the first hour?