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Review
. 2018 May;36(2):427-440.
doi: 10.1016/j.emc.2017.12.010. Epub 2018 Feb 10.

Emergency Department Management of Pediatric Shock

Jenny Mendelson  1
Affiliations
Review

Emergency Department Management of Pediatric Shock

Jenny Mendelson. Emerg Med Clin North Am. 2018 May.

Abstract

Shock, a state of inadequate oxygen delivery to tissues resulting in anaerobic metabolism, lactate accumulation, and end-organ dysfunction, is common in children in emergency department. Shock can be divided into 4 categories: hypovolemic, distributive, cardiogenic, and obstructive. Early recognition of shock can be made with close attention to historical clues, physical examination and vital sign abnormalities. Early and aggressive treatment can prevent or reverse organ dysfunction and improve morbidity and mortality.

Keywords: Children; Emergency department; Hypotension; Pediatric; Sepsis; Shock; Vasopressors.

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