Child Health  |  Gastroenteritis Pathway - Shocked Child and Red Flag




Child Health

Gastroenteritis Pathway - Shocked Child and Red Flag

Is the child shocked?

The child who is shocked may be limp, drowsy or comatose, with a rapid thready pulse, cold blue peripheries, hypotension and anuria. Less reliable signs include skin retraction and capillary refill. 

Red Flag:

Any of the following may indicate diagnoses other than gastroenteritis:

  • Temperature of 38°C or higher (younger than 3 months)
  • Temperature of 39°C or higher (3 months or older)
  • Shortness of breath or tachypnoea
  • Altered conscious state
  • Neck stiffness
  • Confirmed or suspected immunocompromised
  • Bulging fontanelle (in infants)³
  • Non-blanching rash
  • Bilious (green) vomit
  • Severe or localised abdominal pain
  • Abdominal distension or rebound


Last updated : Thursday, May 18, 2017
Next review date : Friday, May 18,2018


Disclaimer: This site is intended to be flexible and frequently updated. While every effort has been made to ensure accuracy, all information should be verified.