● CV system
○ Bradycardia and/or hypotension are OMINOUS, LATE SIGNS.
○ Children have the ability to increase their heart rate and vasoconstrict
peripherally to shunt blood centrally. Hypotension is a late finding of shock in
previously healthy children, and interventions should ideally occur before the
onset of hypotension.
○ Watch out for unexplained tachycardia in the resting child
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