Vasopressor use in the Pediatric Emergency Department has been a moving target for my entire career. Back when I was a resident and fellow we used Dopamine. Then we went to epinephrine because it can be given through a peripheral IV because norepinephrine was too dangerous to run peripherally. But maybe that's not entirely true. I talked about initial pressor choice and more in a recent recorded Zoom conference call with Critical Care Attending Matt Zackoff from Cincinnati Children's. I hope you find his thoughts on vasopressor selection, pitfalls, and the emerging therapies as illuminating as I did.
This edition in the Facts on the Ground series reviews a large retrospective study that attempts to discern a difference between normal saline and lactated ringer's in severe sepsis.
This post from Leah Finkel and Amanda Nelson details how we should think about abnormally high blood pressure measurements in the Pediatric Emergency Department - and what to do about them.