Shock Scenario - 4 month old with Diarrhea and Vomiting

Examine the Child


Excellent idea!

You decide to take a quick look at this child, and what you find does not make you happy.

You discover a small, pale child, in obvious distress. You get a quick set of vital signs:

Pulse: 180
Respiratory Rate: 12 and shallow
Blood pressure: Your Dinamap device is not picking up

What is your initial priority:

Call 9-1-1

ABC's (Airway Breathing and Circulation)

Obtain IV access

Place the child in your car and drive to your nearest PICU