Shock Index, Pediatric Age-Adjusted (SIPA)
Age-adjusted Shock Index for paediatric patients. HR/SBP ratio with age-specific thresholds. Predicts need for blood transfusion, massive transfusion, and mortality in paediatric trauma.
Score interpretation
SIPA below age-specific threshold — normal haemodynamic state for age
→ Continue standard trauma assessment; no immediate need for massive transfusion protocol activation
SIPA at or above threshold for age — haemodynamic compromise
→ Activate massive transfusion protocol; urgent surgical review; resuscitation with blood products; FAST exam; IV access × 2
Interpretation bands for the SIPA. Apply clinical judgement and local guidance.
References
- Acker SN et al. The shock index predicts patient outcomes in pediatric trauma. Am J Surg. 2014;208(5):680–686.
Related
Curated clinical cross-links plus same-class fallbacks.
- Hydrocortisone (IV — Paediatric Emergency) · IV Corticosteroid / Adrenal Replacement
- Tranexamic Acid (Surgical / Trauma Haemorrhage) · Antifibrinolytic (Haemostatic)
- Hydrocortisone (ICU — Stress Dosing) · Corticosteroid (ICU/Septic Shock)
- Tranexamic Acid (ICU/Trauma/Surgical) · Antifibrinolytic
- Labetalol (IV — Hypertensive Emergency) · Combined Alpha-1 and Beta-Adrenergic Blocker
- Noradrenaline (Cardiogenic Shock / Vasopressor) · Vasopressor / Cardiogenic Shock
Decision support only — verify against a current formulary, NICE, or your local guideline before clinical use.