The mortality of septic shock both in percentage of septic shock cases and
total number of septic shock cases, has been increasing over the past sever
al decades. This is despite major advances in diagnosis and treatment. The
basic cause of traumatic and septic shock has only partially been elucidate
d. This review presents information about the basic cause and mechanism of
septic shock as well as a new treatment based on this information. Data sou
rces include research papers on the subject of septic shock from 1875 until
the present. These papers numbered more than 10,000, most of which are not
included in the reference list because many are duplicative. The main resu
lt of rite review of literature is that all of a wide variety of treatments
of septic shack have not resulted in a lowering of mortality, but in fact
have increased it. Another toxin (in addition to endotoxin and its secondar
ily induced host mediators) is proposed. This toxin causes disseminated int
ravascular coagulation, which may obstruct the microcirculation of any and
all organs, producing multiple organ failure by microclots. These microclot
s may be lysed by plasminogen activator and circulation to the organs resto
red.