Variation in Fluids Administered in Shock

Inclusion Criteria: * Age ≥ 18 years admitted to the participating hospital. * Patients in the emergency department, intensive care unit, PACU, or any hospital floor. For patients not in the ICU, there must be plans to transfer to an intensive care unit when an ICU bed is available for patient. * Patients with shock as defined by: * Need for vasopressor (dopamine, norepinephrine, or epinephrine at any dose) to keep MAP \> 65 mmHg Or * Systolic BP \< 90 mmHg Exclusion Criteria: * Patients previously enrolled into this study. * Patients who were in the operating room at time of shock and fluid bolus. * Patients admitted to an ICU after cardiac surgery Patients with primarily cardiogenic shock as etiology for their shock * Patients transferred from another hospital or emergency room to the study hospital.