Live Demo Scenario · 3-minute walkthrough

67-year-old · diabetes · CKD · suspected obstructive urosepsis

Watch a single patient move through detection, bundle care, escalation, and source control — exactly how Antisepsis AI orchestrates the response across every team.

ED-2271
67 / M
ED · Bay 14
Type 2 diabetes
CKD stage 3
Hypertension
Scenario clock
from ED arrival
00:00
/ 02:00

أداة دعم قرار سريري فقط. المخرجات إرشادية ويجب التحقق منها من قِبَل مختص صحي مؤهّل. لا تُشخّص هذه المنصة ولا تصف علاجًا ولا تحل محل الحكم السريري.

Clinical decision support only. Outputs are advisory and must be verified by a qualified clinician. This system does not diagnose, prescribe, or replace clinical judgment.

Live Sepsis Risk Board

ED · current board

Live
ED-228454/F
ED · Bay 7
38
Possible infection
ED-227167/M
Demo focus
ED · Bay 14
28
Monitored
WARD-11872/F
Med ward 4-B
22
Monitored
ICU-0961/M
ICU bed 9
67
Suspected sepsis
Patient Sepsis Timeline

ED-2271 · Fever, confusion, hypotension, tachycardia, tachypnea — suspected UTI

00:00 · ED arrival
  1. 00:00
    Arrival
    ED arrival
    Patient brought in by family. Triage in progress.
  2. 00:05
    Vitals
    Abnormal vitals detected
    HR 122 · BP 92/56 · RR 26 · SpO₂ 93% · Temp 39.1°C · GCS 13.
  3. 00:08
    Infection
    Suspected infection documented
    Triage note: dysuria 3 days, suprapubic tenderness, cloudy urine. Suspected UTI.
  4. 00:10
    Risk
    Antisepsis AI flags ORANGE risk
    qSOFA 2 · NEWS2 7 · AI sepsis probability 71%. Suspected urinary source.
  5. 00:12
    Lab
    Lactate recommended
    Order suggested: serum lactate, ABG, full septic workup.
  6. 00:15
    Lab
    Blood cultures recommended
    Two sets of blood cultures + urine culture before antibiotics if no delay.
  7. 00:20
    Bundle
    Hour-1 bundle timer started
    Bundle clock running. Target antibiotic ≤ 60 min.
  8. 00:25
    Lab
    Lactate returns elevated
    Lactate 3.8 mmol/L · WBC 18.4 · Cr 2.1 (baseline 1.4) · CRP 218.
  9. 00:27
    Risk
    Risk escalates to RED
    Septic shock physiology emerging. AI sepsis probability 89%.
  10. 00:30
    Delay
    Antibiotic NOT administered — delay alert
    10 min since bundle start, no antimicrobial documented. Pharmacy paged.
  11. 00:35
    Alert
    ED physician & pharmacy alerted
    Closed-loop notification sent. Acknowledgement required ≤ 5 min.
  12. 00:40
    Treatment
    Fluid resuscitation tracked
    Balanced crystalloid 30 mL/kg initiated (2.5 L). Response reassessment in 30 min.
  13. 00:50
    Vitals
    Persistent hypotension detected
    Post-fluid MAP 62. Lactate repeat pending. Shock not resolving.
  14. 00:55
    Escalation
    ICU / RRT escalation recommended
    Vasopressor likely required. ICU consult auto-paged. Bed coordination initiated.
  15. 01:05
    Source
    Obstructive urosepsis considered
    Flank pain on re-exam, known nephrolithiasis history. Obstruction suspected.
  16. 01:10
    Source
    Urgent imaging & urology consult tasks generated
    CT KUB without contrast (renal protocol). Urology paged for emergent decompression.
  17. 01:25
    Treatment
    Antibiotic administered
    Piperacillin-tazobactam 4.5 g IV (renal-adjusted) given. TTA = 85 min — above 60-min target.
  18. 01:40
    Escalation
    ICU accepts patient
    ICU bed 7 confirmed. Norepinephrine started en route. Handover complete.
  19. 02:00
    Delay
    Source-control task still pending — delay shown
    120 min since arrival. CT done, urology not yet at bedside. Source-control SLA breached.
1 of 19 events reached
Bedside signals

Vitals + AI risk trajectory

Monitored
HR
118bpm
MAP
71mmHg
RR
24/min
SpO₂
94%
Temp
38.9°C
GCS
14
AI risk score28 / 100
00:00orange ≥ 60red ≥ 8002:00
Sepsis Bundle Tracker

Hour-1 bundle progress

Not started
Tasks complete0/7
  • Measure lactatetarget ≤ 30mT+0m
  • Blood + urine cultures before abxtarget ≤ 30mT+0m
  • Broad-spectrum antibiotic ≤ 60 mintarget ≤ 60mT+0m
  • 30 mL/kg crystalloid if hypotensivetarget ≤ 60mT+0m
  • Vasopressor if MAP < 65 after fluidstarget ≤ 90mT+0m
  • Repeat lactate within 2 htarget ≤ 120mT+0m
  • Source-control decisiontarget ≤ 120mT+0m
AI Clinical Copilot

Explanation, gaps, and next actions

updated 00:00
Why risk increased
  • Triage vitals already meet 2 SIRS criteria (HR > 90, RR > 20, T > 38°C).
  • Confusion + suspected infection → qSOFA threshold approached.
What actions are missing
  • Lactate
  • Blood cultures
  • IV access x2
Which delays matter
  • Time to lactate
  • Time to first antibiotic
Who should be alerted
  • ED senior resident
  • Triage nurse lead
Suggested source-control pathway

Suspected urinary source — collect urinalysis and urine culture before antibiotics if no delay.

Scenario time 00:00 · all recommendations require physician approval.
Escalation Center

Closed-loop alerts

0 active
No escalations yet.
Source Control Navigator

Urosepsis pathway

standby
  1. Obstructive urosepsis considered01:05
  2. CT KUB ordered (renal protocol)01:10
  3. Urology consult paged01:10
  4. Decompression (stent or nephrostomy)02:00
Executive Command Center

Live signal from this case

contributes to KPIs
Time to antibiotic
—
target ≤ 60 min
Time to lactate
—
target ≤ 45 min
Bundle compliance
—
target ≥ 85%
Source-control delay
—
target ≤ 90 min
This single case feeds national dashboards in real time — surfacing pharmacy turnaround and source-control escalation as the two modifiable process risks where clinical risk may increase with delay.
KSA sepsis hotspot map
Governmental hospitals only (MOH, MNGHA, KFSH&RC, KFMC, PSMMC, SFH, university). Dot color reflects risk tier; size reflects encounter volume. Click a city to inspect its hospitals.
10 critical
3 at risk
1 on target
Riyadh86%Jeddah83%Mecca75%Medina79%Taif73%Yanbu75%Dammam83%Khobar86%Tabuk72%Hail68%Buraidah79%Abha67%Najran62%Jazan61%
Critical hotspotAt risk (below target)On target (≥ 85% bundle)·Dot size ~ encounter volume·Governmental hospitals only
Selected city

Riyadh

الرياض

Critical
Hospitals
6
Encounters
686
Mortality
15.2%
TT-Abx
57m
Bundle
85.8%
Red now
23
Governmental hospitals
King Fahad Medical City
KFMC · Tertiary
6 red
Mort. 14.1%TT-Abx 52mBundle 88.4%
King Abdulaziz Medical City (MNGHA)
MNGHA · Tertiary
5 red
Mort. 15.5%TT-Abx 58mBundle 85.6%
Prince Sultan Military Medical City
PSMMC · Tertiary
4 red
Mort. 16.2%TT-Abx 62mBundle 82.9%
King Faisal Specialist Hospital & RC
KFSH&RC · Specialty
3 red
Mort. 12.8%TT-Abx 48mBundle 91.2%
King Khalid University Hospital
University · Tertiary
3 red
Mort. 15.9%TT-Abx 60mBundle 84.1%
Security Forces Hospital – Riyadh
SFH · Secondary
2 red
Mort. 17.4%TT-Abx 66mBundle 79.8%

Recommendation requires physician approval and local protocol review.