• Emerg. Med. Clin. North Am. · May 2018

    Review

    Emergency Department Management of Pediatric Shock.

    • Jenny Mendelson.
    • 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: jmendelson@peds.arizona.edu.
    • Emerg. Med. Clin. North Am. 2018 May 1; 36 (2): 427-440.

    AbstractShock, 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.Copyright © 2018 Elsevier Inc. All rights reserved.

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