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Sepsis as an Emergency
- The Hour-1 Bundle addresses the need for faster sepsis treatment, recognizing it as a critical emergency like trauma or stroke.
- It aims to minimize time to treatment, as delays can significantly worsen outcomes.
Hour-1 Bundle Actions
- Draw lactate, blood cultures (before antibiotics), administer antibiotics, and provide IV crystalloid fluids (30 ml/kg).
- Administer norepinephrine to achieve target MAP, either before or after fluids.
Bundle Complexity
- Completing seemingly simple tasks within an hour is challenging due to multiple steps, various personnel, and complex environments.
- Competing priorities and communication issues further hinder timely execution.