I work in a community hospital where a patient with a lactate over 4 gets a "critical care alert." These patients are supposed to go directly to the ICU if there is a bed Available. However I have noticed that patients who are only moderately sick may clear their lactate after a few liters of fluid. As long as their blood pressure is stable, do you think these patients still need to go to the ICU if they clear their lactate quickly?
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