September 21, 2026 · The American journal of emergency medicine · DOI: 10.1016/j.ajem.2026.09.025

The 2026 Surviving Sepsis Campaign Guidelines: The dissenting opinion

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The authors aim to critique the 2026 Surviving Sepsis Campaign Guidelines, arguing that they have deviated from optimal care for sepsis and septic shock by enforcing rigid "bundles" that dictate standard practices rather than supporting evidence-based decision-making. They provide a dissenting opinion on the most controversial recommendations and suggest alternative approaches for clinicians to move beyond the current protocolized care model.

Rory Spiegel, Korbin Haycock, Ashley Miller, Scott Weingart, Joshua Farkas, Ian Ajmo, Philippe Rola

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