Sepsis from a urinary source: first-hour care

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Educational simulation. Not for real patient care and not a substitute for supervised training. Always follow local protocols.

What you will practise

Recognise sepsis and septic shock in an older patient presenting with confusion and a urinary source.
Prioritise the first-hour bundle concepts: lactate, cultures, antibiotics, fluids and reassessment.
Explain why blood cultures are taken before antibiotics but must not delay them.
Describe when to start vasopressors and involve critical care after initial fluids.
Identify the need for early source control, including an obstructed infected urinary tract.
Review medications that may worsen hypoperfusion or kidney injury during sepsis.

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