generic approach

What is the source of infection?
Right place?
Cultures, gas (lactate and acid-base status), other bloods to look for true septic doom
Resuscitation
A/B: oxygen → ventilation/respiratory support?
C: Access, fluids
D: Glucose management
Source control
WHAT IS THE SOURCE OF INFECTION?

Not all that looks septic

non-resolving pneumonias
other causes of shock? the cardiac baby?