Case

History of Presenting Illness/Situation

  • 18 month old child in ED.
  • Woke up from nap with fever, fussiness, and lethargy.
  • He is pale, refuses to drink, and looks bad according to mom
  • Child appeared well 5 hours ago, maybe a bit less playful than usual, only one wet diaper in the last 12 hours.
  • Mom noticed a fine rash on face and chest on arrival to hospital.
  • Mom runs a small daycare in her home.

Past Medical History:

Recurrent ear infections. No meds, NKDA, parents do not believe in immunizations. FMHx unremarkable.

Core Content

Guidelines

Severe Sepsis and Septic Shock Clinical Pathway

Severe Sepsis and Septic Shock Order Set

Checklist

CRM Content

Additional Reading