What is the first treatment for sepsis?

Sepsis is a dangerous response to an infection that can affect blood pressure, breathing and the function of organs. Clinicians assess vital signs, circulation, urine output and mental alertness while looking for the infection’s source. IV fluids may support circulation when blood pressure or fluid balance is a concern. Antibiotics are often started promptly when bacterial infection is suspected, then adjusted when examination and test results provide more information. Other treatment may be needed for breathing, blood pressure or source control.

Sepsis is not a condition to monitor at home. Call emergency services or go to an emergency department for suspected sepsis, especially with fever or low temperature plus confusion, fast breathing, severe weakness, very little urine, clammy skin or a rapid deterioration. Do not delay to find leftover antibiotics. Bring a list of medicines, allergies and recent infections if this can be done safely, but do not postpone transport.

Seek emergency help immediately for new confusion, difficulty waking, breathing difficulty, blue or grey lips, fainting, severe shivering, a rapidly spreading infection, or a person who looks severely unwell. Infants, older adults, pregnant people and those with weakened immunity may show less typical symptoms. A recent operation, wound, urinary infection or chest infection is useful information for the emergency team.

Ask what infection is suspected, which cultures or scans are needed, how IV fluids and antibiotics will be monitored, and what signs would mean the illness is worsening. Ask when medicines can be changed or stopped and what follow-up is required.