Yes – temp 39, Pulse 120 +, RR >20. Is this septic shock? Yes – SBP 70 in a hypertensive. Is this severe? Yes – cap refill, confused, ?UO Initial recognition was poor and fluid input was suboptimal, especially as SBP sliding overnight. With initial fluid boluses he received 2.5l of fluid and SBP improved to 110. However, later that day he deteriorated again & SBP dropped again.