pediatric-shockEN
⚠️ Up to 30% of children convert shock phenotypes during resuscitation
Most common shift: warm → cold (decompensation).
The vasopressor that was correct 30 minutes ago may now be wrong.
Watch for:
• Extremity demarcation line moving proximally (ankle → knee = worsening)
• Pulses shifting from bounding to weak
• Cap refill lengthening
Action: Reassess phenotype every 5-15 minutes. Communicate shifts using: "We're seeing conversion from warm to cold."