Inclusion Criteria:  Over 18 years old Initially evaluated in the DHMC Lebanon Emergency Department Activated sepsis BPA upon initial presentation (triage history consistent with infection combined with 2 or more SIRS criteria? Are these the criteria that trigger our sepsis BPA?)  Exclusion Criteria:  Patients who are transferred to the DHMC Lebanon Emergency Department from another facility Patients with absent data regarding one or more of the goal-directed sepsis criteria Patients who did not initially meet criteria to trigger the sepsis BPA, but developed sepsis later in their hospital course