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 Vol. 11 No. 2, February 2004
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AAP Grand Rounds 11:21 (2004)
© 2004 American Academy of Pediatrics

TRANSPORT MEDICINE

Pre-Transport Management of Septic Shock

Source: Han YY, Carcillo JA, Dragotta MA, et al. Early reversal of pediatric-neonatal septic shock by community physicians is associated with improved outcome. Pediatrics. 2003;112:793–799.[Abstract/Free Full Text]

The first 20% of the full text of this article appears below.

Timely resuscitation of infants and children with septic shock appears to improve outcome.1 The American College of Critical Care Medicine (ACCM) has recently published guidelines for the hemodynamic management of neonatal and pediatric septic shock that emphasize early and aggressive fluid therapy and use of vasoactive infusions.2 A retrospective review from the University of Pittsburgh, Pa, sought to determine if early reversal of septic shock by community physicians would improve survival, and if outcome was influenced by providing treatment consistent with the ACCM guidelines.

The authors report the management and outcome of 91 . . . [Full Text of this Article]

Monica E. Kleinman, MD, FAAP
Critical Care Medicine, Children’s Hospital, Boston, MA