2012 Documentation/Coding Shock 
Pediatric Emergency Playbook
APRIL 1, 2016
There are two main reasons for an elevated lactate: the stress state and the shock state. The shock state is due to tissue hypoxia, seen in septic shock. We should use lactate to detect occult shock. Children compensate so well for shock, that subtle tissue hypoxia may not be detected until later. Pediatr Cardiol.
Don't Forget the Bubbles
JULY 26, 2023
For anyone approaching a structured ABC would be a priority to establish whether shock was present or not. Typical features include: HR >220bpm Narrow complex regular tachycardia P waves difficult to identify In this case there is no shock present so we can proceed to the right branch of the ALSG guideline.
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Downeast Emergency Medicine
APRIL 26, 2021
Trauma patients between the ages of 18-90 years had to have either had one documented episode of hypotension (defined as a systolic BP <90 mmHg) or tachycardia (>100 beats/minute) to be included in the study. When looking at the subgroups with severe shock, there was an 18.5% Arch Surg 2012; 147:113-119.[ MI or stroke).
Pediatric Emergency Playbook
JUNE 1, 2017
The Systemic Lupus International Collaborating Clinics (SLICC) revised the criteria in 2012. The best documented cormorbidity is sickle cell disease, although other pro-thrombotic conditions also put the child at risk. 2012; AID 471759. 2012; 7:19796. The patient should have ≥4/17 clinical and/or immunologic criteria.
Don't Forget the Bubbles
OCTOBER 10, 2024
The others, such as respiratory rate, heart rate, and decompensated shock, were excluded due to the presumed difficulty for non-healthcare professionals to assess them accurately. 2012 Aug 15;(8):CD004872. There is a significant misalignment between parent and professional scoring systems. Cochrane Database Syst Rev. PMID: 22895944.
Advanced Emergency Nursing from AENJ
FEBRUARY 29, 2016
Perhaps, not insignificantly, they were accustomed to receiving systematized government-supplied medical and trauma care, with "shock rooms" receiving an influx of victims, as contrasted to those later who opposed "socialized medicine." Committee on Shock. EMS in America: The Foundation Documents. Sakran, J.
Dr. Smith's ECG Blog
MAY 8, 2023
Code STEMI was activated by the ED physician based on the diagnostic ECG for LAD OMI in ventricular paced rhythm. Annals of Emergency Medicine 2012; 60(12):766-776. Triage ECG: What do you think? This is diagnostic of proximal LAD occlusion. This is a huge anterolateral OMI. I cannot be anything else. He expired 4 days later.
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