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).

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Sean M. Fox

I enjoy taking care of patients and I finding it endlessly rewarding to help train others to do the same. I trained at the Combined Emergency Medicine and Pediatrics residency program at University of Maryland, where I had the tremendous fortune of learning from world renowned educators and clinicians. Now I have the unbelievable honor of working with an unbelievably gifted group of practitioners at Carolinas Medical Center. I strive every day to inspire my residents as much as they inspire me.

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