The Importance of Tissue Perfusion in Rural Medicine

The guidelines have backed off from insisting giving antibiotics within one hour, which caused a storm when they first suggested that. Cap refill is a great adjunct marker for tissue perfusion. If the patient's at high risk of multi-drug resistance, remember to use two antibiotics and make sure to cover them for it. When it comes to steroids, remember they are good for all those patients who are resistant to vasopressors.