A 5-year-old in septic shock arrives as triage level 1. Two peripheral IV attempts fail, mental status is worsening, BP is 64/34 mm Hg, and

Question

A 5-year-old in septic shock arrives as triage level 1. Two peripheral IV attempts fail, mental status is worsening, BP is 64/34 mm Hg, and antibiotics and fluids are ready at bedside. Which of the following is the most likely diagnosis?

Accepted Answer

Need for intraosseous vascular access

Answer

Need for arterial line before antibiotics

Answer

Need for delayed access until ultrasound IV team arrives

Answer

Need for outpatient oral hydration

Answer

Need for central line placement before any resuscitation

Emergency intraosseous access — ABEM Board MCQ

A 5-year-old in septic shock arrives as triage level 1. Two peripheral IV attempts fail, mental status is worsening, BP is 64/34 mm Hg, and antibiotics and fluids are ready at bedside. Which of the following is the most likely diagnosis?