Paeds Cases · acute-care-resuscitation-and-toxicology
Resuscitate the circulation, not the number — paediatric septic shock
A bedside structured clinical encounter testing recognition of paediatric septic shock, running the first-hour bundle of oxygen, access, reassessed fluid aliquots and antibiotics within the hour, choosing adrenaline for cold shock, recognising fluid accumulation injury, communication, early escalation to retrieval, and a structured handover and disposition.
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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 first-impression recognition of shock, leadership of the first-hour bundle, the reassessed-fluid philosophy, the choice of adrenaline for cold shock, recognition of fluid accumulation injury, communication, escalation and a structured handover. [1] [5]
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- [1]Weiss, Scott L 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]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
- [5]Bjorklund A, Resch J, Slusher T Pediatric Shock Review Pediatrics in review, 2023.PMID 37777656
- [6]Wen L, Xu L The efficacy of dopamine versus epinephrine for pediatric or neonatal septic shock: a meta-analysis of randomized controlled studies Italian journal of pediatrics, 2020.PMID 31937353
- [9]Ali AO, Kordi HAA, Alhag MHSA, et al. Restrictive Versus Liberal Fluid Strategy for Initial Resuscitation in Sepsis and Septic Shock: A Systematic Review and Meta Analysis Journal of clinical medicine research, 2026.PMID 41953594