PIM2

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PIM2
Purpose	measures severity of medical illness for children

PIM2 is a scoring system for rating the severity of medical illness for children, one of several

morbidity

of these patients.

Just like APACHE II and SAPS II, it does not provide a real-life predicted mortality. The standard is too old, variations in mortality are huge between countries and departments, and the definition of mortality is varying, too. However, PIM2 provides a good way to benchmark different sets of patients.

References

Slater A, Shann F, Pearson G, Paediatric Index of Mortality Study Group (2003). "PIM2: a revised version of the Paediatric Index of Mortality". Intensive Care Med. 29 (2): 278–85.
S2CID 23477200
. this is the first published description of the scoring system

Intensive care medicine

General terms

Conditions

Organ system failure	Shock sequence SIRS Sepsis Severe sepsis Septic shock Multiple organ dysfunction syndrome Other shock Cardiogenic shock Distributive shock Anaphylaxis Obstructive shock Neurogenic shock Spinal shock Vasodilatory shock Organ failure Acute renal failure Acute respiratory distress syndrome Acute liver failure Respiratory failure Multiple organ dysfunction syndrome Neonatal infection Polytrauma Coma
Complications	Critical illness polyneuropathy / myopathy Critical illness–related corticosteroid insufficiency Decubitus ulcers Fungemia Stress hyperglycemia Stress ulcer
Iatrogenesis	Methicillin-resistant Staphylococcus aureus Oxygen toxicity Refeeding syndrome Ventilator-associated lung injury Ventilator-associated pneumonia Dialytrauma

Diagnosis

Life-supporting treatments

Airway management and mechanical ventilation
- Tracheal intubation
Cardiac devices
- Intra-aortic balloon pump
- Ventricular assist device
Chest tube
Kidney dialysis
Early goal-directed therapy
Induced coma
Nutritional supplementation
- Enteral feeding
- Total parenteral nutrition
Therapeutic hypothermia

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