Hemostasis Today
NewsFeed
Headlines Hematology Health Medicine VTE ASH Plasma Donation
May, 2026
May 2026
M T W T F S S
 123
45678910
11121314151617
18192021222324
25262728293031
Tomaz Crochemore: Surviving Sepsis Campaign 2026 – Are We Still Underestimating Hemostasis?
Tomaz Crochemore/LinkedIn
Apr 23, 2026, 01:53

Tomaz Crochemore: Surviving Sepsis Campaign 2026 – Are We Still Underestimating Hemostasis?

Tomaz Crochemore, Intensivist at Hospital Moriah, Fellow at the University of Zurich, shared a post on LinkedIn about recent article by Hallie C. Prescott et al., published in Intensive Care Medicine:

“Surviving Sepsis Campaign 2026: Are we still underestimating hemostasis?

The new Surviving Sepsis Campaign 2026 guidelines represent an important step forward in many aspects of sepsis care.

But when it comes to hemostasis, a critical gap remains.

The guidelines:

  • Recommend restrictive transfusion strategies
  • Strongly support pharmacological VTE prophylaxis
  • Address bleeding risk (e.g., stress ulcer prophylaxis)

However…

They do not:

  • Recognize coagulopathy phenotypes (thrombotic vs hemorrhagic)
  • Address the dynamic transition from SIC to DIC
  • Incorporate viscoelastic testing or platelet function assessment
  • Provide guidance for individualized hemostatic therapy
  • Integrate thrombosis and bleeding into a unified clinical frameworkIn other words:

Coagulation is still treated as fragmented events, not as a dynamic system.

Yet we know:

Sepsis is not only inflammation.

It is immunothrombosis.

Patients evolve from:

  • early hypercoagulability and fibrinolysis shutdown
  • to late hypocoagulability and bleedingManaging only one side of this spectrum is no longer enough.

We are entering a new era where:

  • Hemostasis must be continuously assessed
  • Coagulopathy phenotypes must be identified
  • Therapy must be individualized and time-sensitive

This is not just progress.

This is a paradigm shift.

This is Precision Hemostatic Medicine.

This is Patient Clot Management.

Give your patient only what they truly need.”

Title: Surviving Sepsis Campaign: international guidelines for management of sepsis and septic shock 2026

Authors: Hallie C. Prescott, Massimo Antonelli, Waleed Alhazzani, Morten Hylander Møller, Fayez Alshamsi, Luciano C. P. Azevedo, Emilie Belley-Cote, Jan De Waele, Lennie Derde, Joanna C. Dionne, Laura Evans, Hayley B. Gershengorn, Carol L. Hodgson, Kimia Honarmand, Jozef Kesecioglu, Lauralyn McIntyre, Mervyn Mer, Mark E. Nunnally, Simon J. W. Oczkowski, Bram Rochwerg, Olurotimi Olaolu Akinola, Kwame A. Akuamoah-Boateng, Laura Alberto, Derek C. Angus, Yaseen M. Arabi, Elie Azoulay, Maurizio Cecconi, Pauline F. Convocar, Gennaro De Pascale, Kent Doi, Bin Du, Moritoki Egi, Marie-Carmelle Elie-Turenne, Ricard Ferrer, Alison Fox-Robichaud, Craig French, Yonathan Freund, Michelle Ng Gong, Caleb P. Hale, Naomi E. Hammond, Madiha Hashmi, Leo Heunks, Theodore J. Iwashyna, Shevin T. Jacob, Michael Klompas, Arthur Kwizera, Murdoch Leeies, Joanna D. Lejnieks, Mitchell M. Levy, Flavia R. Machado, Marcelo O. Maia, Henry Masur, Ryan C. Maves, Steven McGloughlin, Joanne McPeake, Nicholas M. Mohr, Sheila Nainan Myatra, Marlies Ostermann, Sandra L. Peake, Mathias W. Pletz, Jason A. Roberts, Regis G. Rosa, Robert G. Sawyer, Christa A. Schorr, Steven Q. Simpson, Li Weng, W. Joost Wiersinga, Andrew Rhodes, Craig M. Coopersmith

Tomaz Crochemore: Surviving Sepsis Campaign 2026 - Are We Still Underestimating Hemostasis?

Stay updated with Hemostasis Today.

Alison Fox-Robichaud Andrew Rhodes Arthur Kwizera Bin Du bleeding disorders Bram Rochwerg Caleb P. Hale Carol L. Hodgson Christa A. Schorr Craig French Craig M. Coopersmith Derek C. Angus Elie Azoulay Emilie Belley-Cote Fayez Alshamsi Flavia R. Machado Gennaro De Pascale Hallie C. Prescott Hayley B. Gershengorn Hematology Hemostasis Hemostasis News Hemostasis Today Henry Masur Jan De Waele Jason A. Roberts Joanna C. Dionne Joanna D. Lejnieks Joanne McPeake Jozef Kesecioglu Kent Doi Kimia Honarmand Kwame A. Akuamoah-Boateng Laura Alberto Laura Evans Lauralyn McIntyre Lennie Derde Leo Heunks Li Weng Luciano C. P. Azevedo Madiha Hashmi Marcelo O. Maia Marie-Carmelle Elie-Turenne Mark E. Nunnally Marlies Ostermann Massimo Antonelli Mathias W. Pletz Maurizio Cecconi Medicine Mervyn Mer Michael Klompas Michelle Ng Gong Mitchell M. Levy Moritoki Egi Morten Hylander Møller Murdoch Leeies Naomi E. Hammond Nicholas M. Mohr Olurotimi Olaolu Akinola Pauline F. Convocar Regis G. Rosa Ricard Ferrer Robert G. Sawyer Ryan C. Maves Sandra L. Peake Sepsis Sheila Nainan Myatra Shevin T. Jacob Simon J. W. Oczkowski Steven McGloughlin Steven Q. Simpson Theodore J. Iwashyna thrombosis Tomaz Crochemore W. Joost Wiersinga Waleed Alhazzani Yaseen M. Arabi Yonathan Freund
NewsFeed