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

Fluid Resuscitation and Vasopressors

Fluid Resuscitation

First Hour

Rapid warmed NS 20 mL /kg boluses every 5 minutes
Reassess, repeat boluses to improve perfusion
Begin dopamine if poor response to fluids (40 mL/kg)

Rapid Fluid Infusion Techniques

Volume

Dopamine

Other Considerations