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[Correspondence] Decoding vital signs during triage: pulse pressure in children

Trevor Duke’s Comment (Feb 20, p 721) on the WHO guidelines for emergency triage assessment and treatment is crucial to the proper discovery of shock during the triage process in children.1 Cold extremities, a weak and rapid pulse, and slow capillary refill remain the most sensitive signs for hypovolaemia when one is rapidly decoding a child’s vital signs. However, in practice, the uninitiated triage team can become delayed and often confused by what momentarily seems to be a respectable systolic blood pressure.

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