Pediatric Assessment Triangle (PAT) “THE MISFITS” ABCs, IV, O2, Monitor Suspect Cardiogenic Shock e.g., Cyanosis, Hepatomegaly, Cardiomegaly, Murmur, Pulse Differential, Respiratory Distress, Tachycardia Shock No Shock Resuscitate NS.

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Transcript Pediatric Assessment Triangle (PAT) “THE MISFITS” ABCs, IV, O2, Monitor Suspect Cardiogenic Shock e.g., Cyanosis, Hepatomegaly, Cardiomegaly, Murmur, Pulse Differential, Respiratory Distress, Tachycardia Shock No Shock Resuscitate NS.

Pediatric Assessment Triangle (PAT)
“THE MISFITS”
ABCs, IV, O2, Monitor
Suspect Cardiogenic Shock
e.g., Cyanosis, Hepatomegaly, Cardiomegaly, Murmur, Pulse Differential,
Respiratory Distress, Tachycardia
Shock
No Shock
Resuscitate NS 10 mL/kg
Improved
Not Improved or Worse
Respiratory Distress or
Failure
Start Vasopressors
Hyperoxia Test
Probable Sepsis
Continue Fluid
Resuscitation and
Antibiotics
pO2 <100
Definite CHD
pO2 100-250
May have CHD
No Cyanosis
Cyanosis
pO2 > 250
No CHD
CXR
Intubate
Focal Infiltrate
Cardiomegaly,
Pulmonary edema,
Hepatomegaly
Pneumonia,
Aspiration
CHF
PGE-1 @ 0.05 to 0.1 mcg/kg/min
if less than 4 weeks old
Cardiology for Stat
Echo and/or Transfer
Antibiotics, Supportive
Care
Furosemide,
Digoxin, Cardiology