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MediumEmergency,Infectious DiseasesSeptic shock initial managementau-amcau-acem

A 68-year-old man in ED with pneumonia is hypotensive (80/50 mmHg), tachycardic and has lactate 4 mmol/L. Despite a 1 L fluid bolus, MAP remains low. According to sepsis principles, what is the most appropriate next step?

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