Acker SN, Ross JT, Partrick DA, Tong S, Bensard DD. Pediatric specific shock index accurately identifies severely injured children. J Pediatr Surg. 2015;50(2):331-4.

Vandewalle RJ, Peceny JK, Dolejs SC, Raymond JL, Rouse TM. Trends in pediatric adjusted shock index predict morbidity and mortality in children with severe blunt injuries. J Pediatr Surg. 2018;53(2):362-366.

Yasaka Y, Khemani RG, Markovitz BP. Is shock index associated with outcome in children with sepsis/septic shock?*. Pediatr Crit Care Med. 2013;14(8):e372-9.

Rousseaux J, Grandbastien B, Dorkenoo A, Lampin ME, Leteurtre S, Leclerc F. Prognostic value of shock index in children with septic shock. Pediatr Emerg Care. 2013;29(10):1055-9.

Qazi K, Wright MS, Kippes C. Stable pediatric blunt trauma patients: is trauma team activation always necessary?. J Trauma. 1998;45(3):562-4.

Wang MY, Kim KA, Griffith PM, et al. Injuries from falls in the pediatric population: an analysis of 729 cases. J Pediatr Surg. 2001;36(10):1528-34.

Linnaus ME, Notrica DM, Langlais CS, et al. Prospective validation of the shock index pediatric-adjusted (SIPA) in blunt liver and spleen trauma: An ATOMAC+ study. J Pediatr Surg. 2017;52(2):340-344.

Nordin A, Coleman A, Shi J, et al. Validation of the age-adjusted shock index using pediatric trauma quality improvement program data. J Pediatr Surg. 2017.

Acker SN, Bredbeck B, Partrick DA, Kulungowski AM, Barnett CC, Bensard DD. Shock index, pediatric age-adjusted (SIPA) is more accurate than age-adjusted hypotension for trauma team activation. Surgery. 2017;161(3):803-807.

Dr. Shannon N. Acker

Shock Index, Pediatric Age-Adjusted (SIPA)

heartrate

systolic

Predicts mortality in children with blunt trauma.

Christian Hietanen, DO, is a clinical assistant professor in the department of primary care at Touro College of Osteopathic Medicine in Middletown, New York. Dr. Hietanen graduated from Canisius College in his hometown of Buffalo, NY, and received his DO from the New York College of Osteopathic Medicine. He completed a pediatrics residency at Upstate Medical University and then moved to the Hudson Valley to practice outpatient pediatrics. Additionally, he directs the third-year pediatric clerkship at Orange Regional Medical Center in Middletown, and he continues his practice on a part-time basis.

Christian Hietanen, DO

The Pediatric Age-Adjusted Shock Index (SIPA) calculates shock index (SI), adjusted for age, to predict mortality in children.

Systolic BP

Heart Rate/Pulse

Shock Index

Pediatric BIG Score

SAVE Score for ECMO

EB Medicine is the premier provider of evidence-based clinical content and CME resources for emergency medicine practitioners.

Listen to the VACO co-creators break down how to use VACO\, what it does\, and what it doesn’t.

Calc Function