Texas Collaboration of periOperative Registered Nurses

Sepsis: Pediatric First Response

CE Information
2.5 contact hours
Completion Time
2 hours, 30 minutes
Available Until
June 1, 2026
Posted By
Sepsis Alliance
Sepsis Alliance Sepsis Alliance
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Clinical Topics

Providers play a decisive role in the identification and early treatment of children who have sepsis. This training module shows prehospital and emergency medicine clinicians how to identify, assess, and begin treatment for pediatric patients with sepsis. In addition, coordination of care with emergency department and critical care staff is discussed. Providers will learn the latest update, as well as take home knowledge of how they can make the biggest difference for the littlest patients.

Target Audience: 

Nurses, advanced practice providers, physicians, emergency responders, pharmacists, medical technologists, respiratory therapists, physical/occupational therapists, infection prevention specialists, data/quality specialists, and more.

This educational activity has been a Joint Collaboration between Children's Hospital Association and Sepsis Alliance.

Sepsis Alliance gratefully acknowledges the support provided by the Del E. Webb Foundation for this training module.

Learning Objectives

At the end of the activity, the learner should be able to:

  • Differentiate sepsis versus septic shock;
  • Describe the role of prehospital providers in the identification, assessment, and treatment of pediatric patients with sepsis and septic shock;
  • Contrast the presentation and treatment of pediatric vs adult patients with sepsis and septic shock;
  • Explain how prehospital providers can identify the presence of infection-related triggers for sepsis;
  • Explain the role of clinical measurements such as blood pressure, lactate, end-tidal CO2, and temperature in the identification and assessment of pediatric patients with sepsis and septic shock;
  • Prioritize treatment tools and techniques for pediatric patients experiencing sepsis and septic shock;
  • Justify the escalation or termination of fluid resuscitation / vasopressor administration for patients experiencing septic shock. 


Rommie Duckworth
Rommie Duckworth MPA, LP, EFO, FO

Rom Duckworth, MPA, LP, EFO, FO, is a dedicated emergency responder, author, and educator with more than thirty years of experience working in career and volunteer fire departments, hospital healthcare systems, and private emergency medical services. Rom is currently a career fire Captain and paramedic EMS Coordinator for Ridgefield (CT) Fire Department and Founder of the New England Center for Rescue and Emergency Medicine. Rom is the recipient of the American Red Cross Hero award, Sepsis Alliance Sepsis Hero award, the EMS 10 Innovators award, and the NAEMT Presidential award. An Advisory Board member for the Sepsis Alliance, Rom is the co-author of the Sepsis Care chapter in the NAEMT Advanced Medical Life Support (AMLS) program as well as chapters in more than a dozen EMS, fire, rescue, and medical textbooks and over 100 published articles in fire and EMS journals, magazines, and websites. Rom is an international advocate and leader in emergency services education.

Charles Macias
Charles Macias MD, MPH

Chief Quality Officer, Vice Chair of Quality

Charles Macias is the Chief Quality Officer and Vice Chair of Quality for the University Hospitals Rainbow Babies and Children’s system of care in Cleveland Ohio and its Division Chief for Pediatric Emergency Medicine. He is a co-chair of the Improving Pediatric Sepsis Outcomes Quality Improvement Collaborative of the Children's Hospital Association - a collaborative of over 54 institutions dedicated to decreasing mortality and morbidity from sepsis. He was the chairman of the Pediatric Septic Shock Collaborative of the American Academy of Pediatrics and the former chairman of a pediatric asthma collaborative for the Texas Pediatric Society. He serves as the executive director of the national Emergency Medical Services for Children (EMSC) Innovation and Improvement Center, utilizing improvement science to support the EMSC program in 58 states and territories. Most recently, he was elected to the newly created subspecialty seat on the Board of Director’s for the American Academy of Pediatrics.

CE Information

This activity offers 2.5 contact hours to attendees.

Accredited by California Board of Registered Nursing.

Provider approved by the California Board of Registered Nursing, Provider Number CEP17068 for 2.5 contact hours.

Other healthcare professionals will receive a certificate of attendance for 2.5 contact hours.

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