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Paeds Casesinfectious-diseases

Paeds Cases · infectious-diseases

'They're not themselves' — paediatric sepsis structured encounter

A bedside structured encounter testing recognition and classification of paediatric sepsis, delivery of the first-hour bundle, fluid and vasoactive escalation with reassessment, source control, communication and safe handover.

structured clinical encounter5 min readVerification in progress

Target exams

RACP General PaediatricsRACP DCEMRCPCH ClinicalRCPSC Pediatrics
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Target exams

RACP General PaediatricsRACP DCEMRCPCH ClinicalRCPSC Pediatrics
Prompt
Daniel is 4 and has fever and a cough. He is now less interactive, mottled and cool. His mother says, 'They're not themselves.'

Station status

This is one MedVellum formative structured clinical encounter. The scoring, prompts and performance descriptions are educational feedback tools. They are not an official college station, timing, mark allocation, pass score or reproduced examination format. The encounter assesses sepsis recognition and Phoenix classification, the first-hour bundle, fluid and vasoactive escalation with reassessment, source control, communication and safe handover. [3] [11]

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You have read the opening of this case. The complete unit — every section and its primary-source references — is part of the Paediatrics Fellowship fellowship library.

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References5ShowHide
  1. [1]Sanchez-Pinto LN, Bennett TD, DeWitt PE, et al. Development and Validation of the Phoenix Criteria for Pediatric Sepsis and Septic Shock. JAMA, 2024.PMID 38245897
  2. [3]Weiss SL, Peters MJ, Oczkowski SJW, et al. Surviving Sepsis Campaign International Guidelines for the Management of Sepsis and Septic Shock in Children 2026. Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies, 2026.PMID 41869844
  3. [8]Maitland K, Kiguli S, Opoka RO, et al. Mortality after fluid bolus in African children with severe infection. The New England journal of medicine, 2011.PMID 21615299
  4. [11]Paul R, Niedner M, Riggs R, et al. Bundled Care to Reduce Sepsis Mortality: The Improving Pediatric Sepsis Outcomes (IPSO) Collaborative. Pediatrics, 2023.PMID 37435672
  5. [12]Bjorklund A, Resch J, Slusher T Pediatric Shock Review. Pediatrics in review, 2023.PMID 37777656
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