Don't Use Serum Lactates After Resuscitation

For adults with sepsis or septic shock, we suggest guiding resuscitation to decrease serum lactate in patients with an elevated lactate level over not using serum lactates. If you're going to give a lot of fluid, then you damn well better prove they need it. There's no evidence to support that as a practice. And the current prices for emkrit subscription emkrit membership are so cheap that you should just take a little bit of your CME budget and actually become a member," he says.