American College of Critical Care Medicine algorithm for time-sensitive, goal-directed stepwise management of hemodynamic support in infants and children. Proceed to next step if shock persists. 1) Firsthour goals—restore and maintain heart rate thresholds, capillary refill ≤ 2s, and normal blood pressure in the first hour/emergency department. 2) Subsequent ICU goals—if shock not reversed proceed to restore and maintain normal perfusion pressure (MAP – CVP) for age, Scvo2 > 70% (* except congenital heart patients with mixing lesions), and cardiac index > 3.3 < 6.0L/min/m2 in PICU. #Shock #Algorithm #CriticalCare #Peds #Pediatrics #Sepsis #Management #StepWise
