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. 2020 Apr 11;77:206–216. doi: 10.1016/j.ijsu.2020.04.001

Table 3.

[58]

SEPTIC SHOCK
ADULTS CHILDREN
  • Suspected or confirmed infection

  • AND Vasopressor requirementa

  • AND Lactate ≥2 mmol/L

  • Absence of hypovolemia

  • Hypotensionb

  • OR ≥2 of the following:
    • ●Altered mental state
    • ●Tachycardia or Bradycardiac
    • ●Prolonged capillary refill time
    • ●Feeble pulses
    • ●Tachypnea
    • ●Mottled or cold skin/petechial rash/purpuric rash
    • ●Raised lactate
    • ●Oliguria
    • ●Hyperthermia or hypothermia
a

Vasopressor requirement to maintain a mean arterial pressure (MAP) ≥ 65 mmHg

b

Systolic Blood Pressure <5th percentile or >2 SD below normal for age.

c

In infants Heart Rate(HR) <90 bpm or >160 bpm and children HR <70 bpm >150 bpm.