PRETREATMENT

1. Fluid resuscitate to predefined endpoints (CVP > 7, SBP > 100)2. Give blood to achieve an H&H above 10 and 303. Correct electrolyte imbalances

PREREQUISITE

Patient is requiring a combined vasopressor need greater than 15 mcg (all VP added) to maintain a systolic pressure of 100 after the pre-treatment is completed or becomes hemodynamically unstable.

T-4 PROTOCOL