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Persistent septic-shock resuscitation

Educational use only. Not clinically reviewed

66-year-old woman for Persistent septic-shock reassessment. About 8 simulated minutes.

What you will practise

  • Reconcile prior treatment claims with the current patient response.
  • Reassess pressure alongside brain, skin, kidney, lactate, and respiratory tolerance.
  • Use the fixed dynamic response and lung findings to constrain further fluid.
  • Activate individualized hemodynamic support and urgent source control in parallel.
  • Reassess multi-organ perfusion and unresolved shock after the bounded plan.

Review and sources

Not clinically reviewed. No clinician has signed this scenario.

  • Surviving Sepsis Campaign. International Guidelines for Management of Sepsis and Septic Shock 2026. Society of Critical Care Medicine and European Society of Intensive Care Medicine.
  • Monnet X, Messina A, Greco M, et al. ESICM guidelines on circulatory shock and hemodynamic monitoring 2025. Intensive Care Med. 2025;51:1971-2012. PMID:41236566.

Every scenario in this module

Open Sim Lab is an educational simulator, not for clinical use. It is not a clinical decision-support tool, not a dosing calculator, and is not validated for any decision affecting a real patient.