🚨 SIPA (Shock Index, Pediatric Age-Adjusted)
UseWhen to use: blunt-injured children ~4–16 years for early shock recognition.
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StrataElevated SIPA → higher morbidity risk than hypotension alone in cohorts.
LimitsWhen not to use: as sole trauma-team activation criterion. · Pitfall: applying adult SI cutoffs to young children. · Outside 4–16 y evidence is thinner.
SourceAcker SN et al. SIPA literature
Runs locally in your browser (no PHI uploaded). For licensed clinicians — not a substitute for clinical judgement.
Stored on this device for revisit reminders
This-shift next steps
After scoring: open the scene pack, peer scores, and the matching pathway. Local reference — no HIS write.
Score + version; reference only — not a substitute for care · no HIS write
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Methodology · worked example, guidelines & full notes
Clinical takeaway
Age-specific cutoffs.
When to use
When to use: blunt-injured children ~4–16 years for early shock recognition.
How it works
SI = HR/SBP; elevated if >1.22 (4–6), >1.0 (7–12), >0.9 (13–16).
Key points
- Age-specific cutoffs.
- SI = HR/SBP.
- Next: pediatric ATLS / lactate.
References
Verification & sources · governance
FAQ
Frequently asked questions
- Does SIPA (Shock Index, Pediatric Age-Adjusted) upload patient data? Where is it calculated?
- Calculation runs locally in the browser; inputs and results are not uploaded. For licensed clinicians only; interpret with history, investigations and local protocols — not a diagnosis or prescription.