Hope for additional clarification and a suggestion on wording.

1 Ask that balanced salt solutions (eg Plasmalyte, Normosol etc) to be added 
for fluid challenges rather than being restricted to LR and NS.
2 The language should be cleaned up as 30ml/kg is a dose not a rate.
"The SCCM guidelines state that 30ml/kg is to be given for severe sepsis (organ 
dysfunction and 2 SIRS due to a suspected or documented infection) at a rate of 
30ml/kg."

Very helpful conversation.

Thanks
Stu Reynolds



Stuart F Reynolds, MD FRCP FCCP
Director Critical Care Services
Clinical Professor Critical Care Medicine MUSC AHEC

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