Dr. Emanuel Rivers, MD, MPH is an emergency medicine and critical care specialist. He is Vice Chairman and Director of Research in Emergency Medicine at Henry Ford Hospital in Detroit, MI. He is also a Clinical Professor at Wayne State University. Dr. Rivers has been at the forefront of sepsis research and care for many years and has published several articles on sepsis diagnosis and management. His landmark paper, published in November 2001, supported and expanded early goal directed therapy. This improved early sepsis care to hospitalized patients who had signs of severe sepsis or septic shock worldwide. This approach also expanded the hospital landscape to include patients from the emergency department, general practice floors, and the critical care unit. Facilities across the country and around the world took notice of this concept and adapted it to suit their needs and save lives.