INDIVIDUAL CHANGES
Administer low-dose steroids by a standard policy
Administer Recombinent Activated Protein C (RHAPC) by a standard policy
Apply vasopressors for ongoing hypotension
Blood cultures obtained prior to anitbiotic administration
Improve time to broad-spectrum antibiotics
Maintain adequate central venous oxygen saturation
Maintain adequate central venous pressure
Maintain adequate glycemic control
Prevent excessive inspiratory plateau pressures
Serum lactate measured
Treat hypotension and/or elevated lactate with fluids