Confidence level of pediatric trainees in management of shock states

Table 3 Responses to clinical scenarios

Scenario	Fluid bolus	Vasoactive	No further intervention/ need more data/other	Factors cited as important for decision-making	Percentage with low confidence
1-septic shock s/p 60 mL/kg fluid	38%	47%	15%	Capillary refill, response to fluid	36%
2-hemodynamic instability s/p initiation of positive pressure ventilation	20%	60%	20%	CVP, lactate	65%
3-shock with comorbid cardiomyopathy	39%	15%	46%	HR, BP	64%
4-anaphylaxis with resolved shock	29%	20%	51%	CVP	61%

s/p: Status post; CVP: Central venous pressure; HR: Heart rate; BP: Blood pressure.