Shock in Pediatrics - Types, Presentation and Management

Overview of Paediatric Shock

Shock in Pediatric patient is a important topic for the theory as well as clinicals, Even though this presentation was originally presented during NICU posting, the basic principles are same. Along with management following topics regarding pediatric shock are covered.

This PowerPoint presentation covers the following topics.

Definition
Types and categories
Etiology of various types of shock
Basic Principles of management
Therapeutic endpoints
Fluids Management in shock
Monitoring
Indication of Blood products in shock
Pharmacological support - Choice of Vasopressors and assessment of response
Steroids in shock
Fluid refractory shock

Read more Model Answer ECG Basics - Mechanics Vasculitis

Author

Dr Balbir Singh | DNB Pediatric

Balbir completed his DNB in Pediatrics from JLNH and RC, Bhilai Steel Plant Hospital, CG and is currently working as consultant in pediatrics

2 comments

Unknown 5/22/12, 11:34 AM

Thanks for such good informative presentation.
Will you please, elaborate the mechanism of distributive and dissociative type of shock?
Ajay Agade 5/22/12, 7:02 PM

Thanks Utkarsh for leaving your comment.Dissociative shock is often not included in traditional classifications.Here the hemoglobin molecule is unable to give up oxygen to tissue despite normal tissue perfusion like that in cyanide poisoning, while on other hand in distributive the tissue perfusion is compromised which reduces the oxygen delivery, it may be cardiogenic (like that due to tamponade), septic, neural although we classify these separately the basic mechanism is decrease of blood supply to tissue or relative hypovolumia that means despite good volume its distribution is improper. But mostly only septic shock is termed as distributive..I think this should satisfy your query.

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