When should you worry about vital signs?

Cite this article as:
Tessa Davis. When should you worry about vital signs?, Don't Forget the Bubbles, 2014. Available at:
https://doi.org/10.31440/DFTB.5406

This week’s recommendation is a podcast by the wonderful SGEM.

It’s Ken Milne interviewing Dr Anthony Crocco about identifying when vital signs are abnormal.

They discuss a systematic review looking at the normal values of HR and RR in children. The results are compared with the PALS and APLS guidelines (which most of us use) to identify where we are falling short.

If you only listen to one podcast this week. Make it this one.

Listen to the podcast.

Read the show notes.

If you enjoyed this post, why not check out our online courses at DFTB Digital

About Tessa Davis

AvatarTessa Davis is a Consultant in Paediatric Emergency Medicine at the Royal London Hospital and a Senior Lecturer at Queen Mary University of London.

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Author: Tessa Davis Tessa Davis is a Consultant in Paediatric Emergency Medicine at the Royal London Hospital and a Senior Lecturer at Queen Mary University of London.

3 Responses to "When should you worry about vital signs?"

  1. Avatar
    Penny Wilson 7 years ago .Reply

    Great podcast! Based on this, do you think the “normal vital signs” table in the DTFB quick reference section should be changed to the Fleming charts?

    • Avatar
      Tessa Davis 7 years ago .Reply

      Thanks Penny – you make a good point. I’ll add it to our DFTB to-do list to take a look at this and will add the Fleming charts to the quick reference page too.

  2. Avatar
    Derek Louey 3 years ago .Reply

    Marlais M, Lyttle MD, Inwald D, Ten concerns about blood pressure measurement and targets in paediatric sepsis. Intensive Care Med. 2017 Mar;43(3):433-435.

    3. Oscillometric BP monitors do not use a standard methodology and most have not been validated in children

    Where validation data is available for oscillometric devices, this has generally been in the context of hypertension rather than hypotension.

    4. The most commonly quoted BP ranges in children are from the US National Institutes of Health (NIH) Task Force, derived
    from auscultatory data

    5. Hypotension, defined as <5th centile SBP for age, has been derived using mathematical modelling rather than by direct observation

    6. Very few observational studies have reported lower centile BP data

    7. The original consensus conference definition of hypotension in septic shock was retracted

    8. Advanced paediatric life support and paediatric advanced life support have differing definitions of hypotension

    9. There are no agreed BP targets for sepsis resuscitation in children

    10. Trial evidence for therapy does not exist in children

    https://www.ncbi.nlm.nih.gov/pubmed/27990596

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