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Timely resuscitation of infants and children with septic shock appears to improve outcome.1 The American College of Critical Care Medicine (ACCM) has recently published guidelines for the hemodynamic management of neonatal and pediatric septic shock that emphasize early and aggressive fluid therapy and use of vasoactive infusions.2 A retrospective review from the University of Pittsburgh, Pa, sought to determine if early reversal of septic shock by community physicians …
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