Sepsis remains challenging to teach in the intensive care unit (ICU), not due to a lack of guidelines, but because clinical priorities must be continually reassessed as patient physiology evolves. Although trainees are familiar with guideline recommendations, they often hesitate at the bedside when multiple time-sensitive decisions compete for attention. To address this gap, we implemented a time-axis-based framework to structure sepsis case discussions during routine ICU teaching, including bedside rounds and formal case reviews. This approach organizes management into four sequential yet overlapping decision phases, helping maintain focus on immediate priorities while anticipating subsequent changes. In our experience, trainees demonstrated improved ability to articulate decision prioritization and escalation of care. Rather than introducing new guideline content, the framework enhances the visibility of temporal prioritization and clinical reasoning during discussion. By centering on timing and prioritization, it complements guideline-based teaching and provides a clearer structure for time-critical decision-making in ICU training.