SCCM / ESICM · Global

Surviving Sepsis Campaign international guidelines

Hour-1 bundle, fluid strategy, vasopressor selection and source control principles.

2021Version 2021Critical care

Key recommendations

  • BWeak

    Administer at least 30 mL/kg crystalloid for sepsis-induced hypoperfusion within the first 3 hours.

  • AStrong

    Norepinephrine is the first-line vasopressor targeting MAP ≥ 65 mmHg.

  • ExpertStrong

    Obtain blood cultures before antimicrobials when this does not delay therapy substantially.

Demo content. Educational decision support only. Verify every dose, citation and recommendation against your national formulary and the primary source before clinical use.