ED Pathway for Evaluation/Treatment of Infants > 28 Days of Age and Children with Severe Sepsis

Fluid Responsive Shock

Patients who show improvement with initial ED resuscitation may not require ICU care. Consider parameters as listed below with expected ED observation period of at least 3 hours.

Monitoring/RN Documentation

q 15 minutes HR, RR, BP, oxygen saturation
q 30 minutes Mental status
Respiratory effort
Capillary refill
Quality of pulses
Skin temperature
q 60 minutes Temperature, I/O

Ongoing Care