Guidelines that go beyond guidance and move to regimented, time-based prescriptions of care must be based on unassailable evidence. Even then, the clinician's assessment of the individual patient should allow a diversion from the guideline directed care.
The current iteration of the Surviving Sepsis Campaign Guidelines (2018) fails on all counts:
As such, the under-signed clinicians ask that these guidelines not be used as the foundation of any hospital-specific guidelines/protocols, government interventions,or mandated care. Further, we hope the Surviving Sepsis Campaign retracts these guidelines and integrates a realistic vision of how non-theoretical care is delivered in Emergency Departments, Hospital Wards, and Intensive Care Units and embraces respect for the knowledge and skills of clinicians treating their individual patients at the bedside.