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Guidelines For The Management Of Pediatric Severe Sepsis And Septic Shock

September 2013

Abstract

Although severe sepsis and septic shock is less common in the pediatric population, it has been estimated that approximately 100,000 infants and children present to emergency departments (EDs) annually with severe sepsis. In recent months, there has been increased focus on the management of sepsis in the pediatric population. In 2012, an update was published regarding the management of severe sepsis and septic shock, which included specific guidelines for the pediatric population. Although not intended specifically for emergency physicians, these guidelines were provided for anyone caring for term newborns and children with severe sepsis and septic shock.

Practice Guideline Impact

  • Parameters in defining severe sepsis in children are age related.
  • Initial resuscitation includes administering oxygen, obtaining intravenous (IV) and/or intraosseous (IO) access for fluid and medication administration.
  • Antibiotics should be administered within 1 hour of identification of severe sepsis.
  • Fluid administration is critical in treating septic shock. Consider inotropes if signs of volume overload develop and hypotension is still present.

Key words: pediatric severe sepsis, septic shock, sepsis guidelines, Surviving Sepsis® Campaign

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