You are resuscitating a 50-year old woman with septic shock. You have given her 3L of IV crystalloid, and she is currently requiring norepinephrine 20mcg/min to maintain a MAP of 53. What is your next best step?

Dr. Anton Helman is an Emergency Physician at North York General in Toronto. He is an Assistant Professor at the University of Toronto, Division of Emergency Medicine and the Education Innovation Lead at the Schwartz-Reisman Emergency Medicine Instititute. He is the founder, editor-in-chief and host of Emergency Medicine Cases.