Ussel

Sepsis and its severe form, septic shock, pose significant health challenges involving organ failure and acute circulatory failure. Despite early treatment, many patients still experience worsening conditions and high mortality. This research aims to evaluate whether measuring small blood vessel function in emergency patients can improve outcomes by guiding early fluid treatment. The study compares the usual monitoring of circulation with additional assessments by nurses of peripheral perfusion index and skin mottling. If these measurements indicate poor microcirculation, a first fluid infusion of 500 mL over 30 minutes will be given after medical approval. Patients will be followed for seven days to assess their recovery and health status. Participants will be monitored closely during emergency care, with nurses measuring microcirculation parameters alongside standard tests. Researchers will track clinical deterioration within 24 hours after inclusion, using these data to see if early intervention based on microcirculation improves patient prognosis. The total follow-up period for each participant is seven days.