Michael Guirguis, M.D.’s Post

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Chief Medical Officer at Raven Medical Support Group & XPJ, Corporate/Executive Protection Med Director, Emergency Room Physician, Law Enforcement Flight Physician, Pilot

Fluid bolus, check fluid responsiveness, then quickly start vasopressors peripherally, get a PICC line in, and transfer pressers to PICC. We put way too many central lines in these patients which have minimal benefits and far more adverse effects when compared to PICC lines. #septicshock #shock

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