Septic shock is the worst form of sepsis, associated with acute circulatory failure and hyperlactatemia [1, 2]. Septic shock is an emergency, with every aspect of management a matter not of hours but of minutes, so I make sure my team has enough people to complete all the necessary interventions efficiently and effectively, under my leadership. My patient management is based on the three major components shown in Fig. 1; importantly, infection and hemodynamic management must be performed simultaneously.