Bibliographic Details
| Title: |
Centiles for the shock index among injured children in the prehospital setting |
| Authors: |
Sriram, Ramgopal, Robert J, Sepanski, Jillian K, Gorski, Pradip P, Chaudhari, Ryan G, Spurrier, Christopher M, Horvat, Michelle L, Macy, Rebecca, Cash, Christian, Martin-Gill |
| Source: |
The American Journal of Emergency Medicine. 80:149-155 |
| Publisher Information: |
Elsevier BV, 2024. |
| Publication Year: |
2024 |
| Subject Terms: |
Male, Emergency Medical Services, Adolescent, Infant, Newborn, Infant, Shock, Blood Pressure, Cross-Sectional Studies, Heart Rate, Child, Preschool, Humans, Wounds and Injuries, Female, Child, Retrospective Studies |
| Description: |
The shock index (SI), the ratio of heart rate to systolic blood pressure, is a clinical tool for assessing injury severity. Age-adjusted SI models may improve predictive value for injured children in the out-of-hospital setting. We sought to characterize the proportion of children in the prehospital setting with an abnormal SI using established criteria, describe the age-based distribution of SI among injured children, and determine prehospital interventions by SI.We performed a multi-agency retrospective cross-sectional study of children (90th centile and >95th centiles) were associated with interventions related to basic and advanced airway management, cardiac procedures, vascular access, and provision of intravenous fluids occurred with greater frequency at higher SI centiles. Some procedures, including airway management and vascular access, had a smaller peak at lower ( |
| Document Type: |
Article |
| Language: |
English |
| ISSN: |
0735-6757 |
| DOI: |
10.1016/j.ajem.2024.03.030 |
| Access URL: |
https://pubmed.ncbi.nlm.nih.gov/38608467 |
| Rights: |
Elsevier TDM |
| Accession Number: |
edsair.doi.dedup.....c75fc6d51eba5aa85853c0f2f9f2ef45 |
| Database: |
OpenAIRE |
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