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. 2019 Feb 14;27:19. doi: 10.1186/s13049-019-0596-4

Table 4.

Surviving sepsis campaign hour-1 bundle of care elements

• Measure lactate levela
• Obtain blood cultures before administering antibiotics.
• Administer broad-spectrum antibiotics.
• Begin rapid administration of 30 ml/kg crystalloid for hypotension or lactate level ≥ 4 mmol/L.
• Apply vasopressors if hypotensive during or after fluid resuscitation to maintain MAP ≥65 mmHg.

aRemeasure lactate if initial lactate is elevated (> 2 mmol/L)