Cardiovascular function is intrinsically linked to other systems in the body. Thus, a paediatric CV assessment
includes assessing both a primary cardiac assessment (heart rate & rhythm, blood pressure) and as well as a
secondary multi-organ assessment (neurological assessment, urine output & skin colour and perfusion).

Early signs for circulatory compromise include tachycardia and a delayed central capillary refill.
Later signs include hypotension and bradycardia and indicate that immediate senior medical review
is needed.
Regularly obtaining vitals signs during an ED visit helps identify trends and early warning of the
deteriorating patient.

Urgent escalation is required where a pulse is found to be weak, thready, irregular and/or bounding.
Where unconscious and NO pulse is found, commence CPR immediately.