As the Canadian Association of Emergency Medicine Conference was in Ottawa this year, I had the pleasure of discussing pediatric shock and sepsis with Dr. Sarah Reid, a good medical school friend of mine from the Gretzky Year (’99) graduating class. I knew back then that she was heading for PEM educator stardom. Lo and behold, she is the now the director of CME at the Children’s Hospital of Eastern Ontario and a national PEM speaker extraordinaire. After recording an eye-opening session on Pediatric Fever Without a Source and Pediatric Sepsis, she told me the story of her Best Case Ever where the initial presumptive diagnosis was sepsis.

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 Published July 2014 by Anton Helman

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For pediatric sepsis guidelines see the pediatric section of Surviving Sepsis Campaign.

The Children’s Hospital of Eastern Ontario’s ED algorithm for Severe Sepsis

PEds Sepsis Algorithm

 

 

 

 

 

 

 

Peds Sepsis Algorithm 2

 

 

 

 

 

PEM sepsis algorithm 5

 

PEM sepsis algorithm 8PEM sepsis algorithm 9PEM sepsis algorithm 10

 

 

 

 

 

 

 

 

Dr. Helman and Dr. Reid have no conflicts of interest to declare.