HardEmergencySeptic shock – Sepsis Six and escalationuk-plab-1
A 73-year-old man with community-acquired pneumonia is on IV antibiotics. Over 6 hours his respiratory rate increases to 32/min, blood pressure falls to 82/48 mmHg, lactate is 4 mmol/L and urine output is <0.3 mL/kg/h. You suspect septic shock. According to the Sepsis Six and NICE sepsis guidance, what is the most appropriate immediate management priority?