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in extremis

in extremis

1 9.9
Very near death or in a very serious emergency
  • idiom
  • /ɪn ɛkˈstrɛmɪs/
  • Formal
translation icon : en extremis
  • Senior Lifesaving came back to her, and she remembered how, in extremis, you were permitted to haul off and slug the struggling victim.
  • even in extremis
  • only in extremis

Examples

  • Well, a smart person doesn't have a credit card at all, or has one they use only in extremis.

    Blog text (29)
  • "Isn't that what doctors say when the patient is in extremis?

    Fiction book (1992)
  • Only in extremis should coalition forces cross the border into Pakistan.

    Academic text (2011)
  • I don't know why this should have called up an image of my mother in extremis, but it did.

    Fiction book (1998)
  • The eurozone now has a permanent rescue system and a central bank that, in extremis, will act as lender of last resort.

    Blog text (34)
  • In fact, they represent the tip of the iceberg, a manifestation of social distress lived in extremis.

    Academic text (1995)
  • If a competitor was in extremis, he downed whiskey or brandy.

    Blog text (10)
  • If nothing else, Lula's triumph demonstrated that the unspoken fears of instability and, in extremis, possible military intervention that had stymied previous attempts by the left to gain the presidency had, by 2002, abated.

    Academic text (2005)
  • In fact, his knuckles tightened on the belt that was his lifeline, and in extremis, Dick Latham smiled grimly as he realized what a very unpleasant man he was.

    Fiction book (1990)
  • The doctor rushed to her side, knowing she was in extremis and needed immediate help.

Synonyms

at death's door
vsin extremis
7 7.6

Very ill and almost dying

covers very critical or desperate situations more generally, not only near death

Antonyms

473 2.3

Not likely to change and stays steady over time

How Critical

in extremis
  • Formal
1 9.9
critical
917 4.0
serious
2.0
stable
473 2.3

Surface Forms

in extremis positive

Morphology

in + extremis

The preposition 'in' is fully transparent, but 'extremis' is a Latin-form not found in ordinary English dictionaries, so a B1 learner knowing only the listed constituents would not have a familiar modern lexical item. They might guess a general meaning like 'in extreme circumstances' from similarity to 'extreme', but the specific idiomatic sense 'at the point of death' (or very near-death criticality) is a specialized usage that is not fully predictable without prior exposure.

Etymology

The phrase in extremis comes from Latin and literally means 'in the extreme', used for someone at the very end of life with doctors or priests at their side. That's why in extremis now means 'at the point of death' or in a very desperate situation.