Shock Scenario - 1 year old with fever

Examination


Physical examination:

Limp, gray child, moans with movement.

Weight 9 kg
Temp 39.5
Pulse 200
Respiration 44
Blood pressure: Your Dinamap device is not picking up

Lungs: coarse breath sounds, fair air entry
Cardiovascular: no murmur, capillary refill 8 seconds, extremities cold, unable to palpate distal pulses. brachial and femoral pulses palpable but thready
Abdomen: soft, liver and spleen edges palpable

Does this child have adequate airway/breathing?

Yes

No

Don't know