Welcome back to the Internet Book of Critical Care Podcast. I'm here with Adam Thomas, and we're going to talk about septic shock.

Out of all the chapters we have, Josh, this one is going to be a beast. This is going to be kind of core for the understanding for the whole online textbook.

But what I will say is there's a really important preamble here. And I'm going to let you go for

it, Josh. But there's a lot of camps and a lot of different opinions. So how do we set the mood

for today's podcast? So we're in the midst of a presidential election. And one of the questions

is always, do you try to be centrist? do you try to pick up so many voters as possible?

And I think no matter what we do, we're going to pick up a lot of hatred for this.

So I think our strategy here is just going to go for our base.

Stick to what we know what I'd love.

Scorch to Earth for everything else.

Okay. That being said, Josh, there's big opinions here when it comes to people

who promote or criticize rivers, those people that are in the camp of surviving sepsis campaign,

and then other people that are just out in the ether with critical think tanks about these

things. What's important for us to understand about the basis of your approach and something

that I definitely ascribe to

in sepsis. There are a billion different ways to treat septic shock and I don't know any too

intensivists to treat it exactly the same. Clearly there's many, many ways to do this. There are

many reasonable ways to do this. And if I was going to try to describe every reasonable way to do

this, this chapter would be 100,000 words

long. So basically, we're focusing on my approach to this, which I think is pretty similar to your

approach. I mean, you can jump in. And, you know, I think that's one approach. I think it's a fairly

reasonable approach. It's relatively simple. There's not a lot of gadgetry here. I think that most people out there could probably do this, which is one potential strength

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