signs of shock in bacterial meningitis and meningococcal septicaemia

Last reviewed 01/2018

The National Institute for Health and Clinical Excellence have listed the following as features of "shock"

• capillary refill time more than 2 seconds
• unusual skin colour
• tachycardia and/or hypotension
• respiratory symptoms or breathing difficulty
• leg pain
• cold hands or feet
• toxic or moribund state
• altered mental state or decreased conscious level
• poor urine output (1)

Reference:

• 1. National Institute for Health and Clinical Excellence (NICE) 2010. Bacterial meningitis and meningococcal septicaemia: Management of bacterial meningitis and meningococcal septicaemia in children and young people younger than 16 years in primary and secondary care.