Management of pediatric septic shock in the emergency department

Matthew L. Friedman*, Meredith F. Bone

*Corresponding author for this work

Research output: Contribution to journalArticle

1 Scopus citations

Abstract

Septic shock is a significant source of morbidity and mortality in children. Adhering to evidence-based guidelines for treatment for children with septic shock can lead to better outcomes. Initiation of treatment should begin promptly after recognition of shock in the emergency department. Elements of best practices include rapid administration of intravenous fluid for resuscitation and antibiotics in the first hour. Fluid resuscitation should be titrated to clinical and biochemical end points. If fluid resuscitation is not sufficient to reverse shock, an ionotrope or vasopressor infusion should be initiated. Steroids should be administered in patents known to be at high risk for adrenal insufficiency. All of these interventions should be achieved in the emergency department, ideally within the first hour after recognition of shock.

Original languageEnglish (US)
Pages (from-to)131-139
Number of pages9
JournalClinical Pediatric Emergency Medicine
Volume15
Issue number2
DOIs
StatePublished - Jan 1 2014

Keywords

  • Emergency department
  • Pediatric septic shock
  • Systemic inflammatory response syndrome

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Emergency Medicine

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