11 times out of 10, get that heart rate better. If the initial vials are normal (esp HR & RR), I don't always need d/c vials, but I've added the latest HR as a column in my epic track board to make sure I remember to make it normal before dc. Most kids will probably be fine, but most pediatricians know a story about a kid who was fine but persistently tachycardia who was actually in shock (or had myocarditis) and often suffered a bad outcome.
Those are the kids that scare everyone... looks fine but just still more tachycardic than you'd expect. Unfortunately I think I kind of agree with the plaintiffs on the importance of at least having a 2nd set of vitals. Who knows, maybe the repeat vitals would have looked fine and this whole thing was unavoidable, but the defendants really left themselves open to criticism by not documenting them.
11 times out of 10, get that heart rate better. If the initial vials are normal (esp HR & RR), I don't always need d/c vials, but I've added the latest HR as a column in my epic track board to make sure I remember to make it normal before dc. Most kids will probably be fine, but most pediatricians know a story about a kid who was fine but persistently tachycardia who was actually in shock (or had myocarditis) and often suffered a bad outcome.
Those are the kids that scare everyone... looks fine but just still more tachycardic than you'd expect. Unfortunately I think I kind of agree with the plaintiffs on the importance of at least having a 2nd set of vitals. Who knows, maybe the repeat vitals would have looked fine and this whole thing was unavoidable, but the defendants really left themselves open to criticism by not documenting them.