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. 2019 Mar 21;7:2050312119835043. doi: 10.1177/2050312119835043
3-h resuscitation bundle 6-h septic shock bundle
i. Measure initial serum lactate
ii. Obtain blood cultures prior to antibiotics
iii. Administer broad-spectrum antibiotics
iv. Administer 30 mL kg−1 crystalloids for hypotension or lactate more than or equal to 4 mmol L−1
i. Apply vasopressors (for hypotension unresponsive to initial fluid resuscitation) to maintain MAP more than or equal to 65 mmHg
ii. In the event of persistent hypotension despite fluid resuscitation (septic shock) or lactate ⩾ 4 mmol L−1, measure CVP and ScvO2