Hadley’s Sepsis Story – Casting Down Her Rae's of Sunshine

Hadley Rae was the sweetest little baby you could ever meet. She would light up the room with her laugh and smile from the day she was born. Our beautiful “Haddie” provided 8 months and 13 days of joy, love, smiles, and sunshine to her family and two big sisters.

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She had her occasional colds and low-grade fever that seemed typical of teething or her building up an immune system. My husband and I would take her to the doctor numerous times throughout her time here and it was always something small like this.

Until 2 weeks before she died, we could tell Hadley was very sick. High fever, cough, congestion, phlegm, and very sleepy. Her older sister and I had the flu the week prior. We tested positive and recuperated quickly.

On March 11th, my husband took her to the pediatrician we have seen multiple times. They did not test her for the flu. Assuming that she had the flu – like her mother and big sister – she was given Tamiflu and sent home to rest. No tests were done.

Within a week later, she was back to feeling much better and fever-free. She went back to daycare for two days. On that second day, March 19th, I dropped Hadley off and I said “I love you Haddie. See you soon!”. She gave me the biggest smile ever.

Right before her nap that day, she was playing on the floor and fell asleep sitting up. She had a bottle and fell asleep again while eating.

Hadley was found unresponsive that afternoon when she was taking her last nap. Paramedics/firefighters rushed to try and revive her on the way to Cook’s Children’s emergency room in Fort Worth, Texas, USA. She was brought back on the way to the hospital, but her blood pressure and vitals were too low.

My husband and I rushed to the emergency room after that phone call of “Hadley is not breathing…” from daycare. We watched the medical team at the hospital do everything in their power to bring her back...It didn’t make any sense to us. We pleaded and begged for our baby to come back to us – she seemed so healthy days and hours before…

An hour after the firefighters and paramedics arrived on scene and the medical team worked on her, she was pronounced deceased – with no known cause of dead at the time.

Two months later, we obtained a copy of her autopsy report – Klebsiella oxytoca sepsis. What in the world was that?!

Officials at Tarrant County Public Health in Fort Worth report that Klebsiella oxytoca sepsis is a systemic response to an infection that can lead to organ failure and death. On its own, Klebsiella oxytoca is found in the intestine and is considered healthy – but when it leaves the intestinal tract, a severe infection can develop.

Even though we have an “answer” from her medical report, I can’t help but to think if only there were more tests done along the way. If only they ran a CBC. Perhaps, we could have helped her in time. Our family wishes that this would be known and added to some protocol for children. Children cannot always tell us how they really feel. Awareness and advocacy for sepsis need to be brought to the world’s attention now – it may save your loved one’s life one day.

My family does know this, we want to keep spreading her “Rae’s” of sunshine across the world. In memory of Hadley, we have started random acts of kindness, big or small in memory of Hadley Rae Fowler.

We hope Hadley’s “Rae” reaches the masses. Today, March 19th, 2020, is the first anniversary of her death and will be the first annual “Hadley “Rae” Day”. We will use this day especially to spread her sunshine.

Please visit Hadley’s Facebook page and use #hadleysraeofsunshine to share your kindness in memory of our daughter.


The article above was written by Emily Fowler, Hadley’s mother, and is shared here with her explicit consent. The views in the article do not necessarily represent those of the Global Sepsis Alliance. They are not intended or implied to be a substitute for professional medical advice. The whole team here at the GSA and World Sepsis Day wishes to thank Emily for sharing her daughter’s story and for fighting to raise awareness for sepsis.


Marvin Zick
Recording Now Available – Global Burden, Diagnosis, and Adjunctive Therapies of Sepsis and COVID-19 – Charité Hot Topics

Update March 17th, 2020: A huge thanks to everybody who joined yesterday, including all speakers and those who made it possible. The recording of yesterday’s event is now available to watch below (and on YouTube), including chapter markers to jump directly to the speaker/topic that interests you most.


Original article:

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New data on the global burden of sepsis and the dramatic spread of the COVID-19 pandemic on most continents have not only prompted the request for effective preventive strategies, but also for effective causative and adjunctive therapies against sepsis and COVID-19.

The online meeting by the Sepsis Comprehensive Center Charité (SCCC) will offer an update on the global burden of sepsis and on novel approaches for the early detection of sepsis and treatments, which might help to mitigate the detrimental consequences of the host response to overwhelming bacterial and viral infections. Moreover, this meeting aims to open a dialogue, on how the effectiveness and safety of novel therapeutic approaches may be adequately addressed during the current pandemic.

The meeting will be livestreamed to YouTube, starting at 17:00h on Monday, March 16th, 2020. Using the comment section, you will be able to ask live questions to the speakers. The event will be held in English.

Marvin Zick
Announcement: The 3rd Annual Meeting of the European Sepsis Alliance Will Take Place Completely Online
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Update March 26th: The recording from the meeting is now available.

Original article:

The 3rd Annual Meeting of the European Sepsis Alliance will take place completely online on March 23rd, 2020. There will not be a physical meeting in Brussels. Speakers and panelists will speak from the comfort and safety of their own homes or offices, and you can follow along live and for free on the website of the ESA, including the ability to ask live questions to the speakers, panelists, and moderators. A sign-up is not required.

The program and the timing will stay identical (minus the welcome reception and coffee break…). We will kick-off on Monday, March 23rd at 13:00h Central European Time.

If you sign-up using the form on the website, we will notify you once the livestream starts. Again, registration is not mandatory and the stream will freely be available to anyone visiting our website. It will be embedded at europeansepsisalliance.org/annualmeeting.

The European Sepsis Alliance was founded under the patronage of the European Commissioner for Health and Food Safety, Vytenis Andriukaitis, at our event “Sepsis - A Call to EU Action” in March 2018 and is one of our regional sepsis alliances.

Marvin Zick
POSTPONED - No WSD Supporter Meeting on March 24th at the 40th ISICEM in Brussels, Belgium
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Following the postponement of the 40th ISICEM to September 15th to 18th, we are also postponing our WSD Supporter Meeting, most likely to Tuesday, September 15th, 2020. More information will follow closer to the new date. There will not be a supporter meeting on March 24th in Brussels.

Please note that the 3rd Annual Meeting of the European Sepsis Alliance on March 23rd will take place, although we are currently considering moving the meeting to take place completely online. We will have more to share soon.

Marvin Zick
Reminder: 3rd Annual Meeting of the European Sepsis Alliance Taking Place on March 23rd, 2020 in Brussels
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Update March 12th: The meeting will take place completely online - livestreamed to you at europeansepsisalliance.org/annualmeeting - more info here.

Original article:

In exactly two weeks, on Monday, March 23rd, 2020, the European Sepsis Alliance will hold its 3rd Annual Meeting in Brussels, Belgium. This is a reminder that you are invited to join us and many prestigious speakers at this important event.

Despite SARS-CoV-2 and COVID-19, we are planning to hold our event as planned. We are closely monitoring the situation in Brussels and will keep you updated. Additionally, we will livestream the event on our social media channels - more info to follow.

The meeting will provide an opportunity to hear from policymakers about how public policy can tackle sepsis, listen to updates on the fight against sepsis in countries who have undertaken significant steps, and discuss with survivors and experts what it takes to fight sepsis effectively on the national, community, and healthcare facility level.

Event Details:

  • 3rd Annual Meeting of the European Sepsis Alliance

  • Monday, March 23rd, 2020, 12:15 to 16:15h

  • Permanent Representation of the Federal Republic of Germany to the European Union in Brussels (Rue Jacques de Lalaing 8-14, 1040 Brussels, Metro: Arts-Loi / Maalbeek)

Due to limited seating capacity, please sign up at your earliest convenience. We look forward to welcoming you at the event and have a fruitful discussion, in order to foster the fight against sepsis in Europe together!

The European Sepsis Alliance was founded under the patronage of the European Commissioner for Health and Food Safety, Vytenis Andriukaitis, at our event “Sepsis - A Call to EU Action” in March 2018 and is one of our regional sepsis alliances.

Marvin Zick
Can COVID-19 Cause Sepsis? Explaining the Relationship Between the Coronavirus Disease and Sepsis
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Update April 7th: While the article below was factually correct at the time of publication, it has become outdated (as many things that were written or said a month ago) – an updated version is available here.

Original article:

On January 30th, the World Health Organization declared the 2019 Novel Coronavirus (SARS-CoV-2*) a global health emergency, declaring it an “unprecedented outbreak.” Legitimate concerns of a deadly pandemic have increased due to the virus continuing to spread worldwide, with cases reported in 73 countries spanning across Europe, Asia, South America, North America, and the Eastern Mediterranean Region.

As with every major public health crisis, misinformation and fear run rampant. The importance of fact-based information is tantamount. To this end, the Global Sepsis Alliance would like to provide the following answer to the question of whether COVID-19 can cause sepsis. The answer is a qualified “YES.”

The presently accepted definition of sepsis is a life-threatening organ dysfunction caused by a dysregulated host response to infection. From information presently available on clinical cases of COVID-19, it appears that a small percentage of COVID-19 infections can result in such organ dysfunction and death.

To date, the most reliable information on the clinical syndrome resulting from COVID-19 comes from recently published data out of Wuhan, China and was published in the Journal of the American Medical Association (JAMA) on February 7, 2020. The most common symptoms attributed to COVID-19 infection requiring hospitalization were fever, fatigue, and a dry cough. A majority of cases also had low white blood cell counts and abnormal blood clotting parameters. Of patients hospitalized with COVID-19, 26% were sick enough to be treated in an intensive care unit (ICU) – of these, approximately 60% developed respiratory failure and 31% developed shock. Prolonged hospital courses were not uncommon. Fortunately, even among patients ill enough to be hospitalized with COVID-19 infection, only 4% died – meaning that even among hospitalized COVID-19 cases, nearly 96% have survived. Broader epidemiological data from both inside and outside China also support a case fatality rate of about 1%.

However, despite the attention being paid to COVID-19, it is important to realize that it is by no means the deadliest infection globally in 2020. It is not even the deadliest virus. Fewer than 3,200 deaths have been attributed in total to COVID-19. In comparison, the influenza virus has been responsible for at least 16,000 deaths in the United States alone so far in the 2019-2020 influenza season, with an in-hospital death rate near 5% – higher than the 4% in-hospital death rate seen with COVID-19 in China. As an additional frame of reference, recent estimates place the annual deaths due to sepsis worldwide in excess of 11 million.

Treatments and vaccines are being sought with urgency but are unlikely to be available within the next year. In the meantime, all individuals, particularly those in areas where the COVID-19 has already struck, should focus on the basic protective measures recommended by the WHO – handwashing, maintaining social distancing, avoiding touching one’s face, practicing proper respiratory hygiene, staying at home if feeling unwell, and obtaining prompt medical care if the triad of fever, cough, and breathing difficulty develop.

In conclusion, while the fears of a COVID-19 pandemic are legitimate, it is the view of the GSA that robust and appropriately funded healthcare systems, having already improved the survival rates for sepsis significantly over the past two decades, will be able to adequately identify and manage patients with emerging infections such as COVID-19. Additionally, while the majority of individuals affected by COVID-19 will not develop life-threatening sepsis, the global threat posed by COVID-19 does underpin the need for all citizens and healthcare workers to ensure they are familiar with the early signs of sepsis and appreciate that sepsis can be caused by a multitude of infections, such as this novel coronavirus, other viral infections, seasonal influenza viruses, or common bacterial infections such as pneumonia, urinary tract, abdominal, or wound infections. Never has the slogan of the Global Sepsis Alliance rung truer than now – Stop Sepsis, Save Lives.


This article was published on March 4th, 2020, with the most recent data from the WHO Situation Report from March 3rd, 2020. The views in this news post are not intended or implied to be a substitute for professional medical advice. Special thanks to Nathan Nielsen, Luis Gorordo Del Sol, Emmanuel Nsutebu, and Simon Finfer for helping to put this article together.


*For simplicity, we’ll refer to the virus as COVID-19, even though it’s technically SARS-CoV-2, and the disease it can cause is COVID-19 (by analogy: HIV = virus, AIDS = the disease it can cause).

Marvin Zick
Applications and Nominations for the 2020 GSA Awards Close March 31st
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Update March 30th: Due to the current situation worldwide, the deadline has been extended to June 30th, 2020.

Original article:

Applications and nominations for the 2020 GSA Awards close in just a couple of weeks, on Tuesday, March 31st, 2020. Please share this opportunity with your colleagues, friends, and other interested parties, or just nominate aspirational sepsis projects yourself.

The GSA Awards honor major contributions in the fight against sepsis every year and are exclusively and kindly sponsored by the Erin Kay Flatley Memorial Foundation.

The awards are granted in three categories:

  1. Governments and healthcare authorities

  2. Non-Governmental organizations, patient advocate groups, or healthcare provider groups

  3. Individual nominees

In addition to recognition, prestige, and of course a beautiful trophy, winners of category 2 and 3 are awarded $ 2,500 each.

If you are having technical troubles, any questions, or feedback on the application process, please contact us.

Marvin Zick
Calling International Pediatric Nurses to Apply for Erin’s Campaign for Kids Nursing Awards
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Our colleagues from the Sepsis Alliance are now accepting applications for Erin’s Campaign for Kids Nursing Awards, including in the category of International Nurse. This award category recognizes nurses NOT living in the United States who demonstrate excellence in their work and a commitment to improving outcomes among sepsis patients.

Applications are open until April 10, 2020, and the selected awardee will receive a $1,000 grant. Please share this opportunity with dedicated nurses in your organizations.

Sepsis Alliance created Erin’s Campaign for Kids Nursing Awards in honor of Erin Kay Flatley, an aspiring teacher who tragically and suddenly died of sepsis when she was only 23 years old.

Marvin Zick