This critical analysis focuses on sepsis assessment in acutely ill adult patients, specifically on patient Philomena. The ABCDE assessment was done and critically analyzed, along with the interventions given. The response to patient Philomena was assessed and analyzed, along with the skills and knowledge of the rapid responses given to a deteriorating patient’s condition. The integration of ethical-legal principle and the care that patient Philomena was given was also analyzed. The assessment tools used were evaluated for efficiency. The article concludes with a critical opinion on the care given to patient Philomena.