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Gallifrey Institute for Learning Wiki

• Anatomy & Physiology
• Emergency Medicine
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• Backrooms </aside>

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Support

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Page Contents

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More Medical Guides

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This document does NOT constitute medical advice for humans. For human emergencies, please seek assistance from a certified terrestrial healthcare provider and learn CPR from accredited Earth institutions, because you can save a life (see Resuscitation Council).

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What is sepsis?

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Sepsis is what happens when the immune system stops behaving like a logical, well-disciplined subsystem and instead decides to set the entire body on fire to deal with one intruder. In more medical terms, sepsis is a catastrophic immune overreaction to an infection. Instead of neatly targeting the pathogen, the immune system triggers a full-body inflammatory cascade, disrupting circulation, psionic stability, temperature regulation, and in extreme cases, pushing the body toward hearts failure and multiorgan collapse.

While Gallifreyan immune systems are famously robust, they’re also spectacularly overpowered, which means that when something goes wrong, it can go very wrong very fast. Sepsis can strike after trauma, invasive injury, untreated infections, or exposure to pathogens the body has absolutely no business interacting with.

Gallifreyans don’t get sepsis often, but when they do, it’s SER-ious.

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SER.pdf

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How to use Sepsis Emergency Response (SER)

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Sepsis doesn’t give you much time to hang about. SER is your time-sensitive bundle for suspected sepsis in Gallifreyans: recognise early, hit hard with antibiotics and fluids, and keep reassessing until their system either settles or does something else odd.

In practice, SER boils down to:

1. Spot it early → Gallifreyan Assessment Scoring System (GASS) / Gallifreyan Paediatric Emergencies (G-PEAS) + clinical suspicion.
2. Secure oxygen and access → airway, positioning, IV line.
3. Hit fast → IV antibiotics + fluids within the first hour.
4. Watch like a hawk → repeat GASS, ABCDE Assessment, and be vigilant for healing coma or regeneration.

Once you’ve had a thought of ‘I wonder if this is sepsis?’, don’t faff about. Activate SER and move straight into Step 1.

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Step 1: Recognising sepsis

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Step 2: Secure the airway

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Step 3: Take bloods

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Step 4: Introduce intravenous antibiotics

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Step 5: Administer fluids

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Step 6: Consider a blood transfusion

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Step 7: Reassess and monitor

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When to escalate

Escalate care immediately if:

• The GASS score stays ≥9 despite treatment.
• Synchronous hearts rhythm or dangerously abnormal HRD persist.
• The GASS score worsens by ≥3 points across consecutive assessments.
• Lactate continues to rise or perfusion worsens after two fluid boluses.
• They begin to look more grey, more breathless, or more confused at any point.

If escalation is needed, seek a Gallifreyan hospitaller or any clinician trained in Gallifreyan physiology.

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