Sepsis issue: 

We
 are finishing up a sepsis protocol at our hospital using the SSC as our
 guidelines.  If you have a patient who satisifies severe sepsis by labs
 (ie elevated creatinine, bilirubin, low plts) but has a normal lactate 
and is normotensive, does the SSC mandate or recommend that they get a 
30cc/kg bolus within 3 hours.  Interested in knowing your take and your 
other ED/Critical Care colleagues thoughts. 
Thanks
Sean Sue, MD
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