Monitor Response and Vital Sign Targets
References
Akre, M., Finkelstein, M., Erickson, M., Liu, M., Vanderbilt, L., & Billman, G. (2010). Sensitivity of the pediatric early warning score to identify patient deterioration. Pediatrics, 125(4), e763-769. https://doi.org/10.1542/peds.2009-0338
Children's Hospital of Philadelphia. (2023). Clinical goals for initial resuscitation. https://www.chop.edu/clinical-pathway/sepsis-clinical-goal-initial-resuscitation-ed-inpatient-picu
Children's Hospital of Philadelphia. (2023). Monitor response and vital sign targets. https://www.chop.edu/clinical-pathway/sepsis-monitor-response-vital-sign-targets-and-clinical-goals-ed-inpatient-picu#targets
Puskarich, M.A., Trzeciak, S., Shapiro, N.I., Heffner, A.C., Kline, J.A., & Jones, A.E. (2011). Outcomes of patients undergoing early sepsis resusciatation for cryptic shock compared with overt shock. Resuscitation, 82(10), 1289-1293. https://doi.org/ 10.1016/j.resuscitation.2011.06.015
Weiss, S.L., & Pomertantz, W.J. (2022) Septic shock in children: Rapid recognition and initial resuscitation (first hour). UpToDate. Retrieved February 8, 2023, from https://www.uptodate.com/contents/septic-shock-in-children-rapid-recognition-and-initial-resusciation-first-hour
These pathways do not establish a standard of care to be followed in every case. It is recognized that each case is different, and those individuals involved in providing health care are expected to use their judgment in determining what is in the best interests of the patient based on the circumstances existing at the time. It is impossible to anticipate all possible situations that may exist and to prepare a pathway for each. Accordingly, these pathways should guide care with the understanding that departures from them may be required at times.