Optimizing Pediatric Resuscitation: Evidence-Based Approaches and Emerging Trends.

Abstract

Pediatric hemorrhagic shock is a life-threatening condition associated with significant morbidity and mortality. While extensive literature guides resuscitation practices in adults, evidence for pediatric patients is evolving. The management of hemorrhagic shock in children is further complicated by their anatomic and physiologic differences, which limit the applicability of adult-derived protocols. This review focuses on the management of pediatric hemorrhagic shock with an emphasis on identification of shock, vascular access, transfusion strategies, and the use of resuscitative adjuncts. In order to improve outcomes, a coordinated effort is needed to develop evidence-based, pediatric-specific guidelines and ensure universal preparedness to manage exsanguinating children.