Recognition and Resuscitation of Pediatric Sepsis and Septic Shock During Transport

Sepsis is the leading cause of death and disability in children worldwide. Despite improvements in early recognition and resuscitation, sepsis remains a major pediatric health issue in the United States with an estimated 40,000 hospitalizations and 5,000 deaths each year. Early recognition and resuscitation are key to improving outcomes of pediatric sepsis and septic shock. Evidence shows that resuscitation begun by transport teams prior to tertiary care center arrival has the potential to impact outcomes. This lecture will explore definitions of pediatric sepsis and septic shock (including the new Phoenix Criteria), provide expert guidance on resuscitation strategies, and explore the evidence supporting early recognition and resuscitation during transport.