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EasyEmergency MedicineSeptic Shockus-abemus-abimus-usmle-step-2us-usmle-step-3

A 72-year-old arrives with fever, hypotension (MAP 55 mmHg after fluids), lactate 5.2 mmol/L, and suspected pneumonia. After 30 mL/kg crystalloid, the MAP remains <65 mmHg. Which vasopressor is first-line?

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