S2 Ep27: Shock! A Deep Dive into Our First Intensive Topic
Jun 9, 2021
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Dr. Welsh discusses pediatric shock, including septic shock, cardiogenic shock, neurogenic shock, and adrenal insufficiency. The podcast covers diagnosis, treatment, and management, emphasizing the importance of early recognition and tailored strategies for pediatric patients.
Early recognition of tachycardia is crucial for pediatric patients, especially in older age groups.
Continuous reassessment in shock management is vital to prevent inadvertent worsening of the patient's condition.
Deep dives
Recognition of Tachycardia in Pediatric Patients
Early recognition of tachycardia is crucial in pediatric patients, especially in the age group of 11 to 17, as a heart rate of 110 or higher can indicate significant issues.
Hypotension as a Late Sign of Shock
Hypotension is considered a late sign in shock as compensated shock can maintain blood pressure until quite late in the process, emphasizing the importance of monitoring other markers of end organ perfusion.
Continuous Reevaluation in Shock Management
In shock management, it is essential to stay at the bedside and continuously reassess between interventions to ensure that the treatment is not inadvertently worsening the patient's condition, highlighting the need for vigilant monitoring and adjustment of care.
Resources for Pediatric Critical Care Education
Valuable resources for pediatric critical care education include journals like Pediatric Critical Care Medicine (PCCM), the SCCM website for educational content, and Open Pediatrics from Boston Children's with freely available modules on critical care topics, serving as excellent learning tools for healthcare professionals in this field.
Patient looking rough? Tachycardic? Hypotensive? Don’t know what to do next? Shook? Fear not: Dr. Welsh, a pediatric critical care medicine doctor and Medical Director of the Hasbro Children’s Hospital Pediatric Intensive Care Unit at Brown University. Dr. Welsh spends a golden hour with us to teach on the diagnosis, treatment, and management of septic shock, cardiogenic shock, neurogenic shock, adrenal insufficiency, and more!
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