SEPSIS Telephone Signposting Toolkit

Sepsis is a life-threatening reaction to an infection

Call 999

If in doubt regarding a possible sepsis diagnosis speak with a clinician for advice as soon as possible.

A sepsis screening tool can be found at: Sepsis Assessment


Baby or Young Child

  • blue, pale or blotchy skin, lips or tongue.
  • a rash that does not fade when you roll a glass over it, the same as meningitis.
  • difficulty breathing (you may notice grunting noises or their stomach sucking under their ribcage), breathlessness or breathing very fast.
  • a weak, high-pitched cry that’s not like their normal cry.
  • not responding like they normally do, or not interested in feeding or normal activities.
  • being sleepier than normal or difficult to wake.

They may not have all these symptoms


Call 999 if:

  • Slurred speech or confusion
  • Extreme shivering or muscle pain
  • Passing no urine in 24 hours
  • Severe breathlessness, difficulty breathing, breathing that’s very fast
  • I feel like I might die
  • Skin that’s mottled, very pale or blue (includes lips and tongue)

Other symptoms may include:

  • A rash that does not fade when you roll a glass over it, the same as meningitis.
  • Child that has a fit or convulsion