Initial evaluation of shock in children
- Mark Waltzman, MD
Mark Waltzman, MD
- Assistant Professor of Pediatrics
- Harvard Medical School
- Section Editor
- Susan B Torrey, MD
Susan B Torrey, MD
- Section Editor — Pediatric Resuscitation; Pediatric Trauma
- Associate Professor of Pediatrics
- Baylor College of Medicine
- Pediatric Emergency Medicine
- Texas Children’s Hospital
- Deputy Editor
- James F Wiley, II, MD, MPH
James F Wiley, II, MD, MPH
- Senior Deputy Editor — UpToDate
- Deputy Editor — Adult and Pediatric Emergency Medicine
- Deputy Editor — Primary Care Sports Medicine (Adolescents and Adults)
- Clinical Professor of Pediatrics and Emergency Medicine/Traumatology
- University of Connecticut School of Medicine
This topic will review the initial evaluation of children with shock and focus on the clinical features that identify and classify shock and can be used to evaluate response to treatment.
The physiology, classification, and initial management of pediatric shock, including the evaluation and management of specific types of pediatric shock are discussed separately:
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- Raimer PL, Han YY, Weber MS, et al. A normal capillary refill time of ≤ 2 seconds is associated with superior vena cava oxygen saturations of ≥ 70%. J Pediatr 2011; 158:968.
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- Davis JW, Davis IC, Bennink LD, et al. Are automated blood pressure measurements accurate in trauma patients? J Trauma 2003; 55:860.