Emergency Department, PICU, and Inpatient Clinical Pathway for Infants > 28 Days and Children with Suspected Sepsis, Sepsis and Septic Shock

• 2024

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• Mary Kate Abbadessa; Hannah Stinson; Julie Fitzgerald; Katie Chiotos; Fran Balamuth; Scott Weiss

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About

This clinical pathway for infants over 28 days and children with suspected sepsis or septic shock is outlined in flowchart form. It describes identifying signs like fever, tachycardia, and altered mental status. The process includes a "Sepsis Huddle," quick evaluations, lab tests, and treatments like IV fluids and antibiotics. There are two zones: Yellow for suspected infection without shock and Red for septic shock or organ dysfunction. Reassessment is frequent to monitor response to treatment. If needed, advanced interventions such as vasoactive therapy or ECMO may be considered.

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Tags

Focus Areas: Everyday Emergency; Infectious Disease

Audience: Physicians

Emergency Management Stages: Response; Preparedness (Prevention / Protection)

Keywords: Algorithms; Child, Hospitalized; Fluid Therapy; Intensive Care Units, Pediatric; Sepsis; Anti-Bacterial Agents; Emergency Service, Hospital

Institutions: Children's Hospital of Philadelphia

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The information provided on this website is for educational purposes only. It does not substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.

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