Guidelines of Clinical Judgment? The Pitfalls of Evidence-Based Medicine.
Shock is often challenging in pediatrics because it requires prompt and meticulous fluid management with frequent revaluation. Children in shock who are not managed appropriately will often quickly decompensate and develop cardiac arrest quite quickly. Therefore, most protocols, including the AHA PALS guidelines, recommend repeated boluses of 20mls/kg for children in shock until the symptoms ... Read More
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