1. Meets SEPSIS CRITERA and ...
  2. BP < 90 or relative hypotension (history of hypotension on meds and has a SBP of 100, with other signs of sepsis)
  3. Lactate > 2 mmol/L EtCO2 < 25
  4. Signs of shock: altered mental status, lethargy, poor peripheral, ischemic EKG changes, high flow O2 required to maintain SPO2, etc.
  5. Beta Blockers may mask vital signs
  6. CODE SEPSIS requires ALS, agressive fluid resuscitation (goal of 20 ml/kg), and early notification to the physician at the receiving hospital.