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The median total amount of fluid administered within 6 hours of triage was 2.0 L (IQR 1.5-3.. The ICU admission rate was 36% and in-hospital mortality was 25%. We also observed a higher ICU admission rate (51% vs 24%) and in-hospital mortality (44% vs 14%) in those with higher lactate concentration (≥4 vs ≤2 mmol/L), independent of other sepsis-related parameters. Conclusion Time-to-physician-assessment, time-to-lactate-drawn, time-to-antibiotics, and fluid resuscitation in community emergency departments could be improved.

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Symptoms of Attention-Deficit/Hyperactivity Disorder Doctors make use of the ASRS questionnaire and rating scales for adults to check for symptoms of ADHD. They also look over the patient's medical and family history. They will inquire about problems they have in school, at work and in their family life. Interviewing close relatives of an individual, such as teachers and parents is common. Behavioral Problems If your