What is the most effective initial resuscitation for the septic shock patient?

Abstract

A 52-year-old man who was a pedestrian struck by a car is a patient in your intensive care unit (ICU). No history is known, and no one has been able to reach his family. The impact was mainly on his left chest and abdomen, and the patient required intubation upon arrival to the emergency department. A computed tomography (CT) scan upon admission showed a pulmonary contusion, along with 2 rib fractures. The patient’s condition has been worsening, and a chest X-ray (CXR) shows complete whiteout of both lungs. A partial pressure of oxygen/inspired fraction of oxygen (PaO2/FiO2) ratio of 90 is calculated, and the diagnosis of severe acute respiratory distress syndrome (ARDS) is made.