This transcript has been edited for clarity.
Christopher J. Chiu, MD: Welcome back to The Cribsiders. We are the pediatric medicine podcast. From our interviews with leading experts, we bring you clinical pearls and practice-changing knowledge, and answer lingering questions about core topics in pediatric medicine.
Justin L. Berk, MD, MPH, MBA: We had a great conversation about pediatric shock with Dr Sarah Welsh. She's a pediatric critical care doctor and the medical director of the Hasbro Children's Hospital in Providence, Rhode Island, at Brown University. This episode was produced by Dr Jessica Kelly.
Chiu: I want to remind people where shock fits in the spectrum that starts with systemic inflammatory response syndrome (SIRS).
Figure. Systemic inflammatory response syndrome (SIRS) to shock.
SIRS is when you have two or more of the following features: hypothermia or hyperthermia, tachycardia or bradycardia (if the child is less than 1 year old), tachypnea, or an abnormal white blood cell count. Sepsis is SIRS with an infectious source, and severe sepsis involves organ dysfunction. Finally, shock is severe sepsis that doesn't respond to initial resuscitation efforts. Now, as we're looking at sepsis and shock, we're always looking at vitals. And something about vitals is pretty important, right?
Rapid Review: Sepsis
Neonatal Sepsis Morbidity and Mortality High Across Rich and Poor Countries
Pediatric Sepsis
COMMENTARY
The Child in Shock: Assessment and Treatment
Christopher J. Chiu, MD; Justin L. Berk, MD, MPH, MBA
DisclosuresJuly 14, 2021
This transcript has been edited for clarity.
Christopher J. Chiu, MD: Welcome back to The Cribsiders. We are the pediatric medicine podcast. From our interviews with leading experts, we bring you clinical pearls and practice-changing knowledge, and answer lingering questions about core topics in pediatric medicine.
Justin L. Berk, MD, MPH, MBA: We had a great conversation about pediatric shock with Dr Sarah Welsh. She's a pediatric critical care doctor and the medical director of the Hasbro Children's Hospital in Providence, Rhode Island, at Brown University. This episode was produced by Dr Jessica Kelly.
Chiu: I want to remind people where shock fits in the spectrum that starts with systemic inflammatory response syndrome (SIRS).
Figure. Systemic inflammatory response syndrome (SIRS) to shock.
SIRS is when you have two or more of the following features: hypothermia or hyperthermia, tachycardia or bradycardia (if the child is less than 1 year old), tachypnea, or an abnormal white blood cell count. Sepsis is SIRS with an infectious source, and severe sepsis involves organ dysfunction. Finally, shock is severe sepsis that doesn't respond to initial resuscitation efforts. Now, as we're looking at sepsis and shock, we're always looking at vitals. And something about vitals is pretty important, right?
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Cite this: Christopher J. Chiu, Justin L. Berk. The Child in Shock: Assessment and Treatment - Medscape - Jul 14, 2021.
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Authors and Disclosures
Authors and Disclosures
Author(s)
Christopher J. Chiu, MD
Assistant Professor, Department of Internal Medicine, Division of General Internal Medicine, Ohio State University School of Medicine; Lead Physician, General Internal Medicine, OSU Outpatient Care East; Department of Internal Medicine, Division of General Internal Medicine, Ohio State University Wexner Medical Center, Columbus, Ohio
Disclosure: Christopher J. Chiu, MD, has disclosed no relevant financial relationships.
Justin L. Berk, MD, MPH, MBA
Assistant Professor, Department of Medicine; Assistant Professor, Department of Pediatrics, Warren Alpert School of Medicine, Brown University, Providence, Rhode Island
Disclosure: Justin L. Berk, MD, MPH, MBA, has disclosed no relevant financial relationships.