Assessment and Management of Pediatric Trauma
Module 3: Pediatric Shock, including Vascular Access
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Shock - Clinical Progression

  • Palpation of central and peripheral pulses provides important information for the cardiovascular examination:
    • Determines the heart rate and some indirect evidence of stroke volume and systemic vascular resistance.
    • Pulse quality reflects the adequacy of peripheral perfusion.
    • Weak or absent pulses may indicate poor stroke volume, increased systemic vascular resistance, or both.
  • Loss of perfusion in hands and feet often precedes hypotension and critical loss of vital organ perfusion in shock
  • Hypotension often develops before loss of central pulses
Module 3: Pediatric Shock, including Vascular Access