Emergency Department Management of Pediatric Shock - 04/04/18

Doi : 10.1016/j.emc.2017.12.010

Jenny Mendelson, MD ^a,^b,^⁎
^a Pediatrics, Division of Pediatric Critical Care Medicine, University of Arizona College of Medicine, Banner-University Medical Center, 1501 North Campbell Avenue, PO Box 245073, Tucson, AZ 85724-5073, USA
^b Emergency Medicine, University of Arizona College of Medicine, Banner-University Medical Center, 1501 North Campbell Avenue, Tucson, AZ 85724-5073, USA

^∗Pediatrics, Division of Pediatric Critical Care Medicine, University of Arizona College of Medicine, Banner-University Medical Center, 1501 North Campbell Avenue, PO Box 245073, Tucson, AZ 85724-5073.PediatricsDivision of Pediatric Critical Care MedicineUniversity of Arizona College of MedicineBanner-University Medical Center1501 North Campbell AvenuePO Box 245073TucsonAZ85724-5073

Résumé

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.

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Keywords : Pediatric, Children, Shock, Hypotension, Sepsis, Vasopressors, Emergency department