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Emergency Department Management of Pediatric Shock.

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.
PMID
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Authors

Mayor MeshTerms

Shock

Keywords

Children

Emergency department

Hypotension

Pediatric

Sepsis

Shock

Vasopressors

Journal Title emergency medicine clinics of north america
Publication Year Start




PMID- 29622332
OWN - NLM
STAT- MEDLINE
DCOM- 20180416
LR  - 20180416
IS  - 1558-0539 (Electronic)
IS  - 0733-8627 (Linking)
VI  - 36
IP  - 2
DP  - 2018 May
TI  - Emergency Department Management of Pediatric Shock.
PG  - 427-440
LID - S0733-8627(17)30145-1 [pii]
LID - 10.1016/j.emc.2017.12.010 [doi]
AB  - 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.
CI  - Copyright (c) 2018 Elsevier Inc. All rights reserved.
FAU - Mendelson, Jenny
AU  - Mendelson J
AD  - 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; Emergency Medicine, University
      of Arizona College of Medicine, Banner-University Medical Center, 1501 North
      Campbell Avenue, Tucson, AZ 85724-5073, USA. Electronic address:
      [email protected]
LA  - eng
PT  - Journal Article
PT  - Review
DEP - 20180210
PL  - United States
TA  - Emerg Med Clin North Am
JT  - Emergency medicine clinics of North America
JID - 8219565
RN  - 0 (Isotonic Solutions)
RN  - 0 (Vasoconstrictor Agents)
RN  - 0 (crystalloid solutions)
SB  - IM
MH  - Child
MH  - Fluid Therapy/methods
MH  - Humans
MH  - Hypotension/diagnosis
MH  - Isotonic Solutions/therapeutic use
MH  - Medical History Taking/methods
MH  - Multiple Organ Failure
MH  - Pediatric Emergency Medicine/*methods
MH  - Physical Examination/methods
MH  - Resuscitation/*methods
MH  - *Shock/diagnosis/therapy
MH  - Vasoconstrictor Agents/therapeutic use
OTO - NOTNLM
OT  - Children
OT  - Emergency department
OT  - Hypotension
OT  - Pediatric
OT  - Sepsis
OT  - Shock
OT  - Vasopressors
EDAT- 2018/04/07 06:00
MHDA- 2018/04/17 06:00
CRDT- 2018/04/07 06:00
PHST- 2018/04/07 06:00 [entrez]
PHST- 2018/04/07 06:00 [pubmed]
PHST- 2018/04/17 06:00 [medline]
AID - S0733-8627(17)30145-1 [pii]
AID - 10.1016/j.emc.2017.12.010 [doi]
PST - ppublish
SO  - Emerg Med Clin North Am. 2018 May;36(2):427-440. doi: 10.1016/j.emc.2017.12.010. 
      Epub 2018 Feb 10.