Stop Drowning Patients

Let the comments rip!
Day 4 of CritBits and I'm talking about the terrible practice of overloading septic shock patients with fluids. I highlight the need to switch to vasopressors like norepinephrine after an initial fluid bolus if hypotension persists. Excessive fluid administration can lead to organ ischemia and increased mortality, advocating for early vasopressor use to manage vasodilatory shock effectively.
#criticalcare #emergencymedicine #shock #resuscitation

[@eovc61]

Excellent and thank you. Totally agree, especially with a MAP of less than 60.

[@RishabhB]

Is IVC collapsibility a good idea in determining whether the patient requires more fluids?