Pediatric Shock
General Pediatric Assessment
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Estimated Minimum
Systolic
BP Calculation
(Age in Years x 2) + 70
⚠️️ BP calculation
applies up to age
10 years
Oxygen
15L NRB
Vascular Access
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Cardiac monitor/Capnography
Alternative appropriate treatment
protocols as indicated
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Trauma -
related
Non-Trauma
related
General Trauma
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⚠️ For patients with
known adrenal
insufficiency, administer
patients's own
Solu-Cortef
(hydrocortisone) as
prescribed
BG <60mg/dl
BG <40mg/dl
in newborn
NS bolus
20 ml/kg;
may repeat x 2 with
no rales on lung exam
Blood glucose testing
BG >250mg/dl
BG normal
ORAL GLUCOSE
if patient
protecting airway
D10
1.0 ml/kg IV
max single dose
250ml
GLUCAGON
0.5 mg IM (<20 kg);
1.0 mg IM (>20kg)
for no IV access
NS bolus
10 ml/kg
for hypotension;
may repeat x 2
Consider
DOPAMINE
5-20 mcg/kg/min;
titrate to SBP >70mmHg + 2 x Age
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