Sandbox g2

• Fever (>38.3°C)
• Hypothermia (core temperature <36°C)
• Heart rate >90/min–1 or more than two SD above the normal value for age
• Tachypnea
• Altered mental status
• Significant edema or positive fluid balance (>20 mL/kg over 24 hr)
• Hypotension (SBP <90 mm Hg, MAP <70 mm Hg, or an SBP decrease >40 mm Hg)
• Hypoxemia (Pao2/Fio2 <300)
• Acute oliguria (urine output <0.5 mL/kg/hr for at least 2 hrs despite adequate fluid resuscitation)
• Ileus (absent bowel sounds)
• Diminished capillary refill or mottling