This paper investigates the relationship between knowledge of baseline heart rate and shock recognition in pediatric patients. Through surveying attending physicians and advanced practice providers using a prospective survey tool, we demonstrate that providers are more likely to accurately identify shock when there is knowledge of the patient’s baseline heart rate. These preliminary findings have the potential to inform changes to documentation and the electronic health record (EHR) to make this information more accessible, while also informing future studies aimed at improving clinical outcomes for these high-risk patients.
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References
1.
BibanP.GaffuriM.SpaggiariS.ZagliaF.SerraA.SantuzP. (2012). Early Recognition and Management of Septic Shock in Children. Pediatric Reports, 4(1), e13. https://doi.org/10.4081/pr.2012.e13
2.
BrierleyJ.CarcilloJ. A.ChoongK.CornellT.DeCaenA.DeymannA.DoctorA.DavisA.DuffJ.DugasM.-A.DuncanA.EvansB.FeldmanJ.FelmetK.FisherG.FrankelL.JeffriesH.GreenwaldB.GutierrezJ.… ZuckerbergA. (2009). Clinical practice parameters for hemodynamic support of pediatric and neonatal septic shock: 2007 update from the American College of Critical Care Medicine*. Critical Care Medicine, 37(2), 666–688. https://doi.org/10.1097/CCM.0b013e31819323c6
HanY. Y.CarcilloJ. A.DragottaM. A.BillsD. M.WatsonR. S.WestermanM. E.OrrR. A. (2003). Early Reversal of Pediatric-Neonatal Septic Shock by Community Physicians Is Associated With Improved Outcome. Pediatrics, 112(4), 793–799. https://doi.org/10.1542/peds.112.4.793
5.
LiuL.OzaS.HoganD.PerinJ.RudanI.LawnJ. E.CousensS.MathersC.BlackR. E. (2015). Global, regional, and national causes of child mortality in 2000– 13, with projections to inform post-2015 priorities: an updated systematic analysis. The Lancet, 385(9966), 430–440. https://doi.org/10.1016/S0140-6736(14)61698-6
6.
OliveiraC. F.Nogueira de SáF. R.OliveiraD. S. F.GottschaldA. F. C.MouraJ. D. G.ShibataA. R. O.TrosterE. J.VazF. A. C.CarcilloJ. A. (2008). Time- and Fluid-Sensitive Resuscitation for Hemodynamic Support of Children in Septic Shock. Pediatric Emergency Care, 24(12), 810–815. https://doi.org/10.1097/PEC.0b013e31818e9f3a
7.
ThompsonG. C.MaciasC. G. (2015). Recognition and Management of Sepsis in Children: Practice Patterns in the Emergency Department. The Journal of Emergency Medicine, 49(4), 391–399. https://doi.org/10.1016/j.jemermed.2015.03.012
8.
WatsonR. S.CarcilloJ. A.Linde-ZwirbleW. T.ClermontG.LidickerJ.AngusD. C. (2003). The Epidemiology of Severe Sepsis in Children in the United States. American Journal of Respiratory and Critical Care Medicine, 167(5), 695–701. https://doi.org/10.1164/rccm.200207-682OC
