Shock Cardiogenic Shock Distributive Shock Obstructive Shock Hypovolemic Shock • Sepsis* • Anaphylaxis* • Burns* • Neurogenic shock (Eg. Trauma*) • Congenital Heart Disease * • Acquired Heart Disease (Eg. Kawsasaki Disease* with infarction, cardiomyopathy, myocarditis) • Arrhythmia • Pulmonary Embolism • Tension Pneumothorax • Cardiac Tamponade • Dehydration* • Vomiting* • Diarrhea* • Bleed/Trauma* Acutely unwell Child: Clinical approach to Shock Author: Dr. Theresa Wu Reviewer: Dr. Isabela Sztukowski Student reviewer Stabilize: A- Airway B- Breathing C- Circulation D- Disability (Glasgow coma scale) D- Dextrose check History and physical exam Defined as inadequate oxygen delivery to meet metabolic demands May have history of congenital heart disease Cool to extremities with poor perfusion May have abnormal cardiac exam May have signs of heart failure Often warm to extremities with poor perfusion May have bounding pulses Cool to extremities with poor perfusion May have normal or abnormal breath sounds May have pulsus paradoxus Usually has history of blood/fluid loss Cool to extremities with poor perfusion Refer to corresponding Clinical Approaches *Indicates Key Condition This is not an exhaustive list of medical conditions.

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