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MediumEmergencySeptic shock initial managementca-mccqe1ca-rcpsc-em

A 68-year-old man presents with fever, hypotension (BP 86/54 mmHg), tachycardia, and suspected pneumonia. Lactate is 4.5 mmol/L. According to CAEP sepsis guidelines, which initial management step is most critical within the first hour?

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