[Tailored hemodynamic management of sepsis in a medical high dependency unit: a case report]

Sepsis remains a leading cause of in-hospital mortality, requiring rapid intervention and patient-tailored treatment strategies. We report the case of a 70-year-old woman with E. coli pyelonephritis presenting with septic shock. She was admitted to a medical High Dependency Unit (HDU) and managed using non-invasive hemodynamic monitoring with NICaS and bedside ultrasound (POCUS). Treatment was adapted in real time, including targeted fluid resuscitation, vasopressors, and inotropes, with patient improvement and stabilization. This case highlights how integrated non-invasive tools can guide sepsis management within HDUs, supporting the role of intermediate care units in national strategies for acute care system reform and resource optimization.