Case

It is 4am, and you are asked to see patient in resus. A 74-year-old man has been brought in by ambulance with suspected sepsis. On arrival your patient looks terrible. They have rigors, their oxygen saturations are 90% on room air, they have a respiratory rate of 40. They have a systolic blood pressure of 80 despite receiving 2 litres of fluid. Their GCS is 14/15 and they have a temperature of 39.4° C.

How would you manage shock in this patient?