🧬 Sepsis Decision Tree

🎯 Purpose

Structured logic for identifying sepsis vs infection vs SIRS.


🧩 Step 1: Identify Infection

  • Fever or hypothermia
  • Tachycardia
  • Tachypnea
  • Elevated WBC or bands

If NO → Not sepsis
If YES → Continue


🧩 Step 2: Organ Dysfunction

  • Lactate > 2
  • Hypotension
  • Altered mental status
  • Creatinine rise
  • Low platelets
  • Bilirubin elevation

If NO → Infection without sepsis
If YES → Sepsis


🧩 Step 3: Septic Shock

  • Lactate ≥ 4 OR
  • Requires vasopressors

🧠 Documentation Tips

  • Link clinical indicators to diagnosis
  • Avoid diagnosing sepsis without organ dysfunction
  • Capture source of infection