Pediatric Patients

The first edition of “Surviving Sepsis Campaign International Guidelines for the Management of Septic Shock and Sepsis-Associated Organ Dysfunction in Children” provides guidance for the clinician caring for pediatric patients with sepsis or septic shock.

Surviving Sepsis Campaign Children's Guidelines
Pediatric Critical Care Medicine | Intensive Care Medicine

Surviving Sepsis Campaign Children's Executive Summary
Pediatric Critical Care Medicine | Intensive Care Medicine


Initial Resuscitation Algorithm for Children
Use this algorithm to implement recommendations from the Surviving Sepsis Campaign’s children’s guidelines. It provides a guide for systematic screening for sepsis in children and guidance for care in settings both with and without intensive care services.

Initial Resuscitation Algorithm for ChildrenThe following organizations have endorsed this algorithm:

  • American Academy of Pediatrics (AAP)
  • American Association of Critical-Care Nurses (AACN) 
  • American College of Emergency Physicians (ACEP) 
  • Pediatric Infectious Diseases Society (PIDS) 
  • Scandinavian Society of Anaesthesia and Intensive Care Medicine (SSAI)
  • Society of Infectious Diseases Pharmacists (SIDP) 
  • UK Sepsis Trust 
  • World Federation of Pediatric Intensive and Critical Care Societies (WFPICCS)

Concise Recommendations Tables

SCCM Pod-406 Surviving Sepsis Campaign Children’s Guidelines
Margaret M. Parker, MD, MCCM, and Scott L. Weiss, MD, FCCM, discuss the release of "Surviving Sepsis Campaign International Guidelines for the Management of Septic Shock and Sepsis-Associated Organ Dysfunction in Children,” published in the February 2020 issue of Pediatric Critical Care Medicine (Weiss S, et al. Pediatr Crit Care Med. 2020;21(2);e52-e106). Dr. Weiss outlines the differences between the new pediatric Surviving Sepsis Campaign (SSC) guidelines and the 2017 “American College of Critical Care Medicine Clinical Practice Parameters for Hemodynamic Support of Pediatric and Neonatal Septic Shock” (Davis AL, et al. Crit Care Med. 2017;45:1061-1093), as well as key differences from the “Surviving Sepsis Campaign: International Guidelines for Management of Sepsis and Septic Shock: 2016” (Rhodes A, et al. Crit Care Med. 2017;45:486-552). The challenges in implementing the pediatric guidelines in resource-limited areas and key recommendations for resuscitation of children with sepsis and septic shock are also covered. Dr. Weiss has served as the SCCM-appointed vice-chair of the SSC Guidelines Task Force. He is an attending physician at the Children’s Hospital of Philadelphia. Published: 2/7/2020

SCCM Pod-407 Life Following Pediatric Septic Shock
Margaret M. Parker, MD, MCCM, and Jerry J. Zimmerman, MD, PhD, FCCM, talk about the trajectory of long-term mortality and significant health-related quality of life disability among children encountering septic shock. This discussion is based on two articles Dr. Zimmerman recently published in Critical Care MedicineCritical Illness Factors Associated With Long-Term Mortality and Health-Related Quality of Life Morbidity Following Community-Acquired Pediatric Septic Shock (Zimmerman J, et al. Crit Care Med. 2020;48(3):319-328) and Trajectory of Mortality and Health-Related Quality of Life Morbidity Following Community-Acquired Pediatric Septic Shock (Zimmerman J, et al. Crit Care Med. 2020;48(3):329-337). Dr. Zimmerman is professor of pediatrics and anesthesiology and a faculty member and emeritus division chief of pediatric critical care medicine at Seattle Children’s Hospital, Harborview Medical Center, and University of Washington School of Medicine in Seattle, Washington, USA. He has received research funding from National Institutes of Health, Immunexpress, and Seattle Children’s Research Institute, royalties from Elsevier Publishing as co-editor for Pediatric Critical Care, and travel reimbursement from SCCM. Published: 3/2/2020

Sepsis in Children During the COVID-19 Pandemic
Members of the SSC children's guidelines taskforce offer their perspectives on treating children in the COVID-19 era in Perspective of the Surviving Sepsis Campaign on the Management of Pediatric Sepsis in the Era of Coronavirus Disease 2019‚Äč and this summary video:

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