title: An international perspective on the treatment of pediatric shock: the Brazilian experience.
abstract: Shock in the pediatric population has many preventable causes. Treatment of children in shock will depend on access to health services, training of health personnel, availability of diagnostic procedures, monitoring, and therapeutic measures. Countries will differ among themselves and within themselves in the care provided to children developing shock. In Brazil, the majority of children are cared for in public hospitals, which often lack resources for basic care. Many children in shock do not even reach healthcare services. Investment in training healthcare personnel in a simplified and systematic approach to shock and access to equipped health services are basic to improved outcomes in the treatment of pediatric shock. The Brazilian experience in the treatment of children in shock outside hospital facilities, in the emergency department, and in the ICU is described.
authors.affiliation: Terapia Intensiva Pediátrica e Neonatal, Prontobaby-Hospital da Criança, Rio de Janeiro, RJ, Brazil.
authors.forename: M E
authors.initials: ME
authors.lastname: Viana
authors.forename: C O
authors.initials: CO
authors.lastname: Valete
authors.forename: G
authors.initials: G
authors.lastname: Sgorlon
authors.forename: J A
authors.initials: JA
authors.lastname: Vieira
authors.forename: J C
authors.initials: JC
authors.lastname: Currais
authors.forename: M P
authors.initials: MP
authors.lastname: Martins
authors.forename: S B
authors.initials: SB
authors.lastname: Martins
authors.forename: M E
authors.initials: ME
authors.lastname: Novais
mesh_terms: D000293:Adolescent; D001938:Brazil / Q000453:epidemiology; D002648:Child; D002675:Child, Preschool; D003906:Developing Countries; D004636:Emergency Service, Hospital; D006297:Health Services Accessibility; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007362:Intensive Care Units; D011787:Quality of Health Care; D012769:Shock / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy*