Systolic Blood Pressure Guide
• Recall that hypotension, as demonstrated by numeric values, is a later finding in children.
• The child that does exhibit low blood pressure readings has progressed down that “slipper slope” of shock to a considerable extent.
• PALS traditionally teaches that your goal SBP ≥ 70 + 2x Age in Years. This equates to approximately the 5 percentile of SBP for weight. Many would consider this still sub-optimal.
• A better goal would be to aim for SBP ≥ 90 + 2x Age in Years. This equates to the 50 percentile of SBP for weight (the Median).