A significant challenge in recognizing severe sepsis early is the complexity of the sepsis presentation, which makes it significantly more challenging to identify patients compared to many other time-critical conditions that are treated in the ED, such as ST-segment elevation myocardial infarction or acute ischemic stroke. Another challenge is ED crowding, which has been linked to the decreased likelihood of adherence to guideline-concordant care. Studies have also demonstrated a relationship between ED crowding and delayed antibiotic administration [7]. A promising measure in improving the efficacy of the health care services provided in ED during crowdedness periods [8]. Such systems should be time efficient and easy to use in order to maintain their impact even during periods of ED crowding.