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Assessment of the Sick Child - BHS Education Resource

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Stand back!!! – circulation to skin<br />

• Young children have huge capacity to increase<br />

SVR shunting blood from skin to central organs<br />

• In compensated shock get initial pallor<br />

• pale child and rapid PR = shock TPO<br />

• Mottled skin <strong>the</strong>n occurs, random patterns <strong>of</strong><br />

vasoconstriction and vasodilation = ominous<br />

• NOT “cutis marmorata” (lacy marbling) and from cool<br />

(Ballarat) conditions<br />

• Cyanosis = late stage shock or resp failure

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