Are Steroids Shocking? The use of steroids in septic shock has been debated for decades, but more recent data increasingly supports their benefit (PMID: 38250247), particularly for patients in refractory vasopressor shock. While we'll dive into vasopressors soon, understand that if your patient isn't responding adequately to vasopressors, steroids, specifically hydrocortisone (and often fludrocortisone), should be on your radar. So, why do we use them? Here are three key reasons: 1. Addressing R
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