Tachypnoea is the earliest indicator of a deteriorating patient. Look at the respiratory rate: measure it accurately, and watch for a change over time. Also consider the patient's sensorium, CRT, HR, U/O, and BP. Rx. Oxygen Crystalloid IV (Hartmann's/Ringer's Lactate or Normal Saline) Adult: 30 mL/kg (1-2 L) statim Child: 20 mL/kg bolus ± repeat Antibiotics Clinical presentation and local antibiotic resistance … Continue reading Sepsis