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ModerateEmergencySepsis with high NEWS2uk-plab-1

A 67-year-old man presents to the emergency department with fever, confusion, hypotension (BP 82/48 mmHg), respiratory rate 30/min and SpO2 90% on air. His NEWS2 score is 9. You suspect sepsis from a urinary source. What is the single most important immediate action?

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