Hello All,

Please review this excellent article just published from Kaiser about septic 
patients with renal and heart disease.

Multi-center implementation of a treatment bundle for sepsis patients with 
intermediate lactate values improved bundle compliance and was associated with 
decreased hospital mortality. These decreases were mediated by improved 
mortality and increased fluid administration among patients with a history of 
heart failure or chronic kidney disease.

1. Liu VX, Morehouse JW, Marelich GP, Soule J, Russell T, Skeath M, Adams C, 
Escobar GJ, Whippy A. Multicenter Implementation of a Treatment Bundle for 
Sepsis Patients with Intermediate Lactate Values. Am J Respir Crit Care Med 
2015.

ER

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