Super Sick Kids: New Research and Guidelines for Managing Pediatric Septic Shock-Rommie Duckworth

As an EMS provider, you play a decisive role in the identification and early treatment of these critically ill children. This session investigates what research says about how to identify, assess, and begin treatment for pediatric patients with sepsis.

Learning Objectives:

1. Identify infection related triggers for sepsis and septic shock.

2. Identify the key physiological indicators of pediatric sepsis.

3. Critically evaluate guidelines for EMS identification, assessment, and management of pediatric victims of sepsis based on current research.

References:

Brian Wright. (2018, January 3). SCCM : Forums : Concise Critical Appraisal: Prehospital Antibiotics for Sepsis [Forum]. Retrieved January 6, 2018, from http://sccm.socious.com/p/fo/st/thread=2812&_zs=UR0kd1&_zl=JJPR4

Walchok, J. G., Pirrallo, R. G., Furmanek, D., Lutz, M., Shope, C., Giles, B., … Dix, A. (2017). Paramedic-Initiated CMS Sepsis Core Measure Bundle Prior to Hospital Arrival: A Stepwise Approach. Prehospital Emergency Care, 21(3), 291–300. https://doi.org/10.1080/10903127.2016.1254694

Rhodes, A., Evans, L. E., Alhazzani, W., Levy, M. M., Antonelli, M., Ferrer, R., … Dellinger, R. P. (2017). Surviving Sepsis Campaign: International Guidelines for Management of Sepsis and Septic Shock 2016. Critical Care Medicine, 45(3), 486. https://doi.org/10.1097/CCM.0000000000002255

Reinhart, K., Daniels, R., Kissoon, N., Machado, F. R., Schachter, R. D., & Finfer, S. (2017). Recognizing Sepsis as a Global Health Priority — A WHO Resolution. New England Journal of Medicine, 377(5), 414–417. https://doi.org/10.1056/NEJMp1707170

Marik, P. E., & Taeb, A. M. (2017). SIRS, qSOFA and new sepsis definition. Journal of Thoracic Disease, 9(4), 943–945. https://doi.org/10.21037/jtd.2017.03.125

National Institute for Health Care Excellence. (2017). National Institute for Health Care Excellence (NICE) Sepsis: Risk Stratification Guidelines. Retrieved December 3, 2017, from https://www.nice.org.uk/guidance/ng51/resources/algorithms-and-risk-stratification-tables-compiled-version-2551488301

The Dangers of Over-Resuscitation in Sepsis. (2016, June 2). Retrieved December 4, 2017, from http://www.emdocs.net/the-dangers-of-over-resuscitation-in-sepsis/

Duckworth, R. L. (2016, September 1). Recognizing Pediatric Sepsis with CHART Mnemonic. JEMS : A Journal of Emergency Medical Services.