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Paediatric septic shock — RCPSC EM MCQ

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HardPaediatric emergenciesPaediatric septic shockRCPSC EM

CTAS 1. A 6-year-old has fever, mottled skin, and altered mental status. BP is 74/38, HR 168, capillary refill 5 seconds, lactate 5.5, and glucose is 3.1 mmol/L. Oxygen and IV access are obtained. What is the most appropriate initial management?

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Correct answer: E — Broad-spectrum antibiotics, glucose correction, and balanced fluid boluses

Paediatric septic shock requires oxygen, hypoglycaemia correction, early antimicrobials, cautious repeated fluid boluses, and vasoactive escalation if needed.

Reference: PALS Provider Manual; Canadian Paediatric Society sepsis resources