**5. Conclusion**

Sepsis and Septic Shock continue to be a growing concern in the world. Even though there is no current gold standard to diagnose sepsis and septic shock, the new guidelines allow the healthcare professional to determine if the patient could possibly go into sepsis and septic shock. The new guidelines help identify sepsis at an early stage in the adult population, but still show concerns in the pregnant and pediatric population. Due to the different normal lab values in a pregnant patient, SOFA cannot be accurately used to diagnose a patient. Defining sepsis in the pediatric patient is made more difficult due to age specific vital signs, and their tremendous physiologic reserve which often masks the seriousness of their condition. Sepsis and septic shock can be very deadly and the health care professional should be aware of the determining factors in the non-pregnant, pregnant and pediatric populations.
