BH ICU Manual
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Criteria for rapid ICU admission of children with sepsis

In a child with suspected severe sepsis, any one or more of…
  1.  Venous blood Lactate >3 mmol/L
  2.  Neutropenia (neutrophil count <1000 / mm3), unexpected (i.e. not related to cancer chemotherapy)
  3.  Large pleural effusion (e.g. near white-out of hemi-thorax)
  4.  Coagulopathy (INR>1.6, APTT>60, Fib <1)
  5.  Signs of shock* persisting despite a total of 40ml/kg fluid

* Signs of shock include capillary refill >3 seconds, low volume pulses, hypotension, tachypnoea, lethargic or poor conscious state

Any child fulfilling these rapid ICU admission criteria should be discussed urgently with a PIPER consultant

PICU Victoria Network Nov 2017

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