@matdesgro I mean we all agree that lactate guided resuscitation is a dumb strategy. In RCT comparing #lactate guided vs #CRT guided, no difference was found. Then, CRT guided resuscitation is a dumb strategy

Just as any strategy based on the correction of clinical signs of #shock (#tachycardia, #hypotension, encephalopathy, #oliguria, crt, #molting, cutaneous temperature or lactate). This are signs of a syndrome, none of them is nor sensitive nor specific alone.