id	sid	tid	token	lemma	pos
gs-4268	1	1	fullpdf070412025.pdf	fullpdf070412025.pdf	ADJ
gs-4268	1	2	hypovolemic	hypovolemic	ADJ
gs-4268	1	3	shock	shock	NOUN
gs-4268	1	4	diagnostic	diagnostic	ADJ
gs-4268	1	5	challenges	challenge	NOUN
gs-4268	1	6	and	and	CCONJ
gs-4268	1	7	effective	effective	ADJ
gs-4268	1	8	management	management	NOUN
gs-4268	1	9	strategies	strategy	NOUN
gs-4268	1	10	(	(	PUNCT
gs-4268	1	11	case	case	NOUN
gs-4268	1	12	discussion	discussion	NOUN
gs-4268	1	13	)	)	PUNCT
gs-4268	1	14	tsitsino	tsitsino	PROPN
gs-4268	1	15	zhorzholiani	zhorzholiani	PROPN
gs-4268	1	16	avicenna	avicenna	PROPN
gs-4268	1	17	batumi	batumi	PROPN
gs-4268	1	18	medical	medical	PROPN
gs-4268	1	19	university	university	PROPN
gs-4268	1	20	,	,	PUNCT
gs-4268	1	21	batumi	batumi	NOUN
gs-4268	1	22	,	,	PUNCT
gs-4268	1	23	georgia	georgia	PROPN
gs-4268	1	24	pediatric	pediatric	ADJ
gs-4268	1	25	shock	shock	NOUN
gs-4268	1	26	is	be	AUX
gs-4268	1	27	a	a	DET
gs-4268	1	28	leading	lead	VERB
gs-4268	1	29	contributor	contributor	NOUN
gs-4268	1	30	to	to	ADP
gs-4268	1	31	global	global	ADJ
gs-4268	1	32	mortality	mortality	NOUN
gs-4268	1	33	and	and	CCONJ
gs-4268	1	34	morbidity	morbidity	NOUN
gs-4268	1	35	in	in	ADP
gs-4268	1	36	children	child	NOUN
gs-4268	1	37	.	.	PUNCT
gs-4268	2	1	because	because	SCONJ
gs-4268	2	2	children	child	NOUN
gs-4268	2	3	maintain	maintain	VERB
gs-4268	2	4	compensated	compensated	ADJ
gs-4268	2	5	physiology	physiology	NOUN
gs-4268	2	6	until	until	ADP
gs-4268	2	7	late	late	ADJ
gs-4268	2	8	stages	stage	NOUN
gs-4268	2	9	,	,	PUNCT
gs-4268	2	10	the	the	DET
gs-4268	2	11	presence	presence	NOUN
gs-4268	2	12	of	of	ADP
gs-4268	2	13	hypotension	hypotension	NOUN
gs-4268	2	14	signals	signal	VERB
gs-4268	2	15	immediate	immediate	ADJ
gs-4268	2	16	decompensation	decompensation	NOUN
gs-4268	2	17	,	,	PUNCT
gs-4268	2	18	necessitating	necessitate	VERB
gs-4268	2	19	rapid	rapid	ADJ
gs-4268	2	20	and	and	CCONJ
gs-4268	2	21	decisive	decisive	ADJ
gs-4268	2	22	management	management	NOUN
gs-4268	2	23	.	.	PUNCT
gs-4268	3	1	the	the	DET
gs-4268	3	2	principal	principal	ADJ
gs-4268	3	3	obstacle	obstacle	NOUN
gs-4268	3	4	is	be	AUX
gs-4268	3	5	the	the	DET
gs-4268	3	6	broad	broad	ADJ
gs-4268	3	7	variation	variation	NOUN
gs-4268	3	8	in	in	ADP
gs-4268	3	9	age	age	NOUN
gs-4268	3	10	-	-	PUNCT
gs-4268	3	11	dependent	dependent	ADJ
gs-4268	3	12	hemodynamic	hemodynamic	ADJ
gs-4268	3	13	parameters	parameter	NOUN
gs-4268	3	14	and	and	CCONJ
gs-4268	3	15	pharmaceutical	pharmaceutical	NOUN
gs-4268	3	16	dosing	dosing	NOUN
gs-4268	3	17	,	,	PUNCT
gs-4268	3	18	often	often	ADV
gs-4268	3	19	leading	lead	VERB
gs-4268	3	20	to	to	ADP
gs-4268	3	21	errors	error	NOUN
gs-4268	3	22	and	and	CCONJ
gs-4268	3	23	non	non	ADJ
gs-4268	3	24	-	-	ADJ
gs-4268	3	25	standardized	standardized	ADJ
gs-4268	3	26	care	care	NOUN
gs-4268	3	27	,	,	PUNCT
gs-4268	3	28	particularly	particularly	ADV
gs-4268	3	29	in	in	ADP
gs-4268	3	30	general	general	ADJ
gs-4268	3	31	hospital	hospital	NOUN
gs-4268	3	32	settings	setting	NOUN
gs-4268	3	33	.	.	PUNCT
gs-4268	4	1	a	a	DET
gs-4268	4	2	consolidated	consolidated	ADJ
gs-4268	4	3	,	,	PUNCT
gs-4268	4	4	practical	practical	ADJ
gs-4268	4	5	methodology	methodology	NOUN
gs-4268	4	6	for	for	ADP
gs-4268	4	7	clinicians	clinician	NOUN
gs-4268	4	8	is	be	AUX
gs-4268	4	9	essential	essential	ADJ
gs-4268	4	10	.	.	PUNCT
gs-4268	5	1	this	this	DET
gs-4268	5	2	investigation	investigation	NOUN
gs-4268	5	3	sought	seek	VERB
gs-4268	5	4	to	to	PART
gs-4268	5	5	construct	construct	VERB
gs-4268	5	6	an	an	DET
gs-4268	5	7	innovative	innovative	ADJ
gs-4268	5	8	,	,	PUNCT
gs-4268	5	9	synthesized	synthesize	VERB
gs-4268	5	10	educational	educational	ADJ
gs-4268	5	11	and	and	CCONJ
gs-4268	5	12	procedural	procedural	ADJ
gs-4268	5	13	framework	framework	NOUN
gs-4268	5	14	for	for	ADP
gs-4268	5	15	pediatric	pediatric	ADJ
gs-4268	5	16	hypotensive	hypotensive	ADJ
gs-4268	5	17	shock	shock	NOUN
gs-4268	5	18	,	,	PUNCT
gs-4268	5	19	integrating	integrate	VERB
gs-4268	5	20	fundamental	fundamental	ADJ
gs-4268	5	21	global	global	ADJ
gs-4268	5	22	protocols	protocol	NOUN
gs-4268	5	23	(	(	PUNCT
gs-4268	5	24	pals	pal	NOUN
gs-4268	5	25	,	,	PUNCT
gs-4268	5	26	ssc	ssc	PROPN
gs-4268	5	27	)	)	PUNCT
gs-4268	5	28	into	into	ADP
gs-4268	5	29	a	a	DET
gs-4268	5	30	unified	unified	ADJ
gs-4268	5	31	algorithm	algorithm	NOUN
gs-4268	5	32	to	to	PART
gs-4268	5	33	optimize	optimize	VERB
gs-4268	5	34	clinical	clinical	ADJ
gs-4268	5	35	response	response	NOUN
gs-4268	5	36	time	time	NOUN
gs-4268	5	37	.	.	PUNCT
gs-4268	6	1	methods	method	NOUN
gs-4268	6	2	:	:	PUNCT
gs-4268	6	3	we	we	PRON
gs-4268	6	4	performed	perform	VERB
gs-4268	6	5	a	a	DET
gs-4268	6	6	focused	focused	ADJ
gs-4268	6	7	narrative	narrative	NOUN
gs-4268	6	8	synthesis	synthesis	NOUN
gs-4268	6	9	of	of	ADP
gs-4268	6	10	established	establish	VERB
gs-4268	6	11	international	international	ADJ
gs-4268	6	12	clinical	clinical	ADJ
gs-4268	6	13	guidelines	guideline	NOUN
gs-4268	6	14	,	,	PUNCT
gs-4268	6	15	notably	notably	ADV
gs-4268	6	16	the	the	DET
gs-4268	6	17	2020	2020	NUM
gs-4268	6	18	aha	aha	NOUN
gs-4268	6	19	pals	pal	NOUN
gs-4268	6	20	and	and	CCONJ
gs-4268	6	21	the	the	DET
gs-4268	6	22	2020	2020	NUM
gs-4268	6	23	surviving	surviving	NOUN
gs-4268	6	24	sepsis	sepsis	NOUN
gs-4268	6	25	campaign	campaign	NOUN
gs-4268	6	26	pediatric	pediatric	ADJ
gs-4268	6	27	guidelines	guideline	NOUN
gs-4268	6	28	.	.	PUNCT
gs-4268	7	1	the	the	DET
gs-4268	7	2	resulting	result	VERB
gs-4268	7	3	framework	framework	NOUN
gs-4268	7	4	organizes	organize	VERB
gs-4268	7	5	treatment	treatment	NOUN
gs-4268	7	6	around	around	ADP
gs-4268	7	7	three	three	NUM
gs-4268	7	8	specific	specific	ADJ
gs-4268	7	9	physiological	physiological	ADJ
gs-4268	7	10	groups	group	NOUN
gs-4268	7	11	:	:	PUNCT
gs-4268	7	12	infants	infant	NOUN
gs-4268	7	13	(	(	PUNCT
gs-4268	7	14	0	0	NUM
gs-4268	7	15	12	12	NUM
gs-4268	7	16	months	month	NOUN
gs-4268	7	17	)	)	PUNCT
gs-4268	7	18	,	,	PUNCT
gs-4268	7	19	young	young	ADJ
gs-4268	7	20	children	child	NOUN
gs-4268	7	21	(	(	PUNCT
gs-4268	7	22	1	1	NUM
gs-4268	7	23	5	5	NUM
gs-4268	7	24	years	year	NOUN
gs-4268	7	25	)	)	PUNCT
gs-4268	7	26	,	,	PUNCT
gs-4268	7	27	and	and	CCONJ
gs-4268	7	28	school	school	NOUN
gs-4268	7	29	-	-	PUNCT
gs-4268	7	30	age	age	NOUN
gs-4268	7	31	children	child	NOUN
gs-4268	7	32	(	(	PUNCT
gs-4268	7	33	6	6	NUM
gs-4268	7	34	12	12	NUM
gs-4268	7	35	years	year	NOUN
gs-4268	7	36	)	)	PUNCT
gs-4268	7	37	.	.	PUNCT
gs-4268	8	1	the	the	DET
gs-4268	8	2	derived	derive	VERB
gs-4268	8	3	protocol	protocol	NOUN
gs-4268	8	4	details	detail	NOUN
gs-4268	8	5	sequential	sequential	ADJ
gs-4268	8	6	management	management	NOUN
gs-4268	8	7	,	,	PUNCT
gs-4268	8	8	from	from	ADP
gs-4268	8	9	early	early	ADJ
gs-4268	8	10	detection	detection	NOUN
gs-4268	8	11	and	and	CCONJ
gs-4268	8	12	initial	initial	ADJ
gs-4268	8	13	volume	volume	NOUN
gs-4268	8	14	expansion	expansion	NOUN
gs-4268	8	15	(	(	PUNCT
gs-4268	8	16	20	20	NUM
gs-4268	8	17	ml	ml	NOUN
gs-4268	8	18	/	/	SYM
gs-4268	8	19	kg	kg	NOUN
gs-4268	8	20	fluid	fluid	ADJ
gs-4268	8	21	boluses	bolus	NOUN
gs-4268	8	22	)	)	PUNCT
gs-4268	8	23	to	to	ADP
gs-4268	8	24	the	the	DET
gs-4268	8	25	critical	critical	ADJ
gs-4268	8	26	juncture	juncture	NOUN
gs-4268	8	27	of	of	ADP
gs-4268	8	28	initiating	initiate	VERB
gs-4268	8	29	pharmacologic	pharmacologic	ADJ
gs-4268	8	30	support	support	NOUN
gs-4268	8	31	.	.	PUNCT
gs-4268	9	1	a	a	DET
gs-4268	9	2	dual	dual	ADJ
gs-4268	9	3	-	-	PUNCT
gs-4268	9	4	citation	citation	NOUN
gs-4268	9	5	method	method	NOUN
gs-4268	9	6	is	be	AUX
gs-4268	9	7	utilized	utilize	VERB
gs-4268	9	8	to	to	PART
gs-4268	9	9	robustly	robustly	ADV
gs-4268	9	10	link	link	VERB
gs-4268	9	11	clinical	clinical	ADJ
gs-4268	9	12	steps	step	NOUN
gs-4268	9	13	to	to	ADP
gs-4268	9	14	their	their	PRON
gs-4268	9	15	evidence	evidence	NOUN
gs-4268	9	16	base	base	NOUN
gs-4268	9	17	.	.	PUNCT
gs-4268	10	1	the	the	DET
gs-4268	10	2	framework	framework	NOUN
gs-4268	10	3	precisely	precisely	ADV
gs-4268	10	4	defined	define	VERB
gs-4268	10	5	minimal	minimal	ADJ
gs-4268	10	6	intervention	intervention	NOUN
gs-4268	10	7	thresholds	threshold	NOUN
gs-4268	10	8	for	for	ADP
gs-4268	10	9	systolic	systolic	ADJ
gs-4268	10	10	blood	blood	NOUN
gs-4268	10	11	pressure	pressure	NOUN
gs-4268	10	12	based	base	VERB
gs-4268	10	13	on	on	ADP
gs-4268	10	14	age	age	NOUN
gs-4268	10	15	,	,	PUNCT
gs-4268	10	16	such	such	ADJ
gs-4268	10	17	as	as	ADP
gs-4268	10	18	<	<	X
gs-4268	10	19	70	70	NUM
gs-4268	10	20	mmhg	mmhg	NOUN
gs-4268	10	21	for	for	ADP
gs-4268	10	22	infants	infant	NOUN
gs-4268	10	23	and	and	CCONJ
gs-4268	10	24	<	<	X
gs-4268	10	25	70	70	NUM
gs-4268	10	26	+	+	CCONJ
gs-4268	10	27	(	(	PUNCT
gs-4268	10	28	2	2	NUM
gs-4268	10	29	x	x	NOUN
gs-4268	10	30	age	age	NOUN
gs-4268	10	31	in	in	ADP
gs-4268	10	32	years	year	NOUN
gs-4268	10	33	)	)	PUNCT
gs-4268	10	34	mmhg	mmhg	NOUN
gs-4268	10	35	for	for	ADP
gs-4268	10	36	older	old	ADJ
gs-4268	10	37	pediatric	pediatric	ADJ
gs-4268	10	38	patients	patient	NOUN
gs-4268	10	39	.	.	PUNCT
gs-4268	11	1	crucially	crucially	ADV
gs-4268	11	2	,	,	PUNCT
gs-4268	11	3	the	the	DET
gs-4268	11	4	selection	selection	NOUN
gs-4268	11	5	of	of	ADP
gs-4268	11	6	the	the	DET
gs-4268	11	7	initial	initial	ADJ
gs-4268	11	8	vasoactive	vasoactive	ADJ
gs-4268	11	9	agent	agent	NOUN
gs-4268	11	10	was	be	AUX
gs-4268	11	11	tailored	tailor	VERB
gs-4268	11	12	to	to	ADP
gs-4268	11	13	the	the	DET
gs-4268	11	14	presumed	presume	VERB
gs-4268	11	15	shock	shock	NOUN
gs-4268	11	16	profile	profile	NOUN
gs-4268	11	17	:	:	PUNCT
gs-4268	11	18	epinephrine	epinephrine	NOUN
gs-4268	11	19	or	or	CCONJ
gs-4268	11	20	dopamine	dopamine	NOUN
gs-4268	11	21	was	be	AUX
gs-4268	11	22	prioritized	prioritize	VERB
gs-4268	11	23	for	for	ADP
gs-4268	11	24	infants	infant	NOUN
gs-4268	11	25	(	(	PUNCT
gs-4268	11	26	0	0	NUM
gs-4268	11	27	12	12	NUM
gs-4268	11	28	months	month	NOUN
gs-4268	11	29	)	)	PUNCT
gs-4268	11	30	due	due	ADP
gs-4268	11	31	to	to	ADP
gs-4268	11	32	prevalence	prevalence	NOUN
gs-4268	11	33	of	of	ADP
gs-4268	11	34	"	"	PUNCT
gs-4268	11	35	cold	cold	ADJ
gs-4268	11	36	shock	shock	NOUN
gs-4268	11	37	,	,	PUNCT
gs-4268	11	38	"	"	PUNCT
gs-4268	11	39	while	while	SCONJ
gs-4268	11	40	norepinephrine	norepinephrine	NOUN
gs-4268	11	41	was	be	AUX
gs-4268	11	42	favored	favor	VERB
gs-4268	11	43	for	for	ADP
gs-4268	11	44	school	school	NOUN
gs-4268	11	45	-	-	PUNCT
gs-4268	11	46	age	age	NOUN
gs-4268	11	47	children	child	NOUN
gs-4268	11	48	(	(	PUNCT
gs-4268	11	49	6	6	NUM
gs-4268	11	50	12	12	NUM
gs-4268	11	51	years	year	NOUN
gs-4268	11	52	)	)	PUNCT
gs-4268	11	53	,	,	PUNCT
gs-4268	11	54	aligning	align	VERB
gs-4268	11	55	with	with	ADP
gs-4268	11	56	protocols	protocol	NOUN
gs-4268	11	57	emphasizing	emphasize	VERB
gs-4268	11	58	direct	direct	ADJ
gs-4268	11	59	vasopressor	vasopressor	NOUN
gs-4268	11	60	action	action	NOUN
gs-4268	11	61	for	for	ADP
gs-4268	11	62	generalized	generalized	ADJ
gs-4268	11	63	vasodilation	vasodilation	NOUN
gs-4268	11	64	(	(	PUNCT
gs-4268	11	65	"	"	PUNCT
gs-4268	11	66	warm	warm	ADJ
gs-4268	11	67	shock	shock	NOUN
gs-4268	11	68	"	"	PUNCT
gs-4268	11	69	)	)	PUNCT
gs-4268	11	70	.	.	PUNCT
gs-4268	12	1	this	this	DET
gs-4268	12	2	clear	clear	ADJ
gs-4268	12	3	differentiation	differentiation	NOUN
gs-4268	12	4	significantly	significantly	ADV
gs-4268	12	5	diminishes	diminish	VERB
gs-4268	12	6	clinical	clinical	ADJ
gs-4268	12	7	ambiguity	ambiguity	NOUN
gs-4268	12	8	and	and	CCONJ
gs-4268	12	9	error	error	NOUN
gs-4268	12	10	potential	potential	NOUN
gs-4268	12	11	.	.	PUNCT
gs-4268	13	1	conclusion	conclusion	NOUN
gs-4268	13	2	:	:	PUNCT
gs-4268	13	3	this	this	DET
gs-4268	13	4	newly	newly	ADV
gs-4268	13	5	developed	develop	VERB
gs-4268	13	6	age	age	NOUN
gs-4268	13	7	-	-	PUNCT
gs-4268	13	8	adjusted	adjust	VERB
gs-4268	13	9	training	training	NOUN
gs-4268	13	10	framework	framework	NOUN
gs-4268	13	11	delivers	deliver	VERB
gs-4268	13	12	an	an	DET
gs-4268	13	13	efficient	efficient	ADJ
gs-4268	13	14	,	,	PUNCT
gs-4268	13	15	evidencesupported	evidencesupported	ADJ
gs-4268	13	16	strategy	strategy	NOUN
gs-4268	13	17	for	for	ADP
gs-4268	13	18	prompt	prompt	ADJ
gs-4268	13	19	pediatric	pediatric	ADJ
gs-4268	13	20	shock	shock	NOUN
gs-4268	13	21	stabilization	stabilization	NOUN
gs-4268	13	22	.	.	PUNCT
gs-4268	14	1	this	this	DET
gs-4268	14	2	unified	unified	ADJ
gs-4268	14	3	approach	approach	NOUN
gs-4268	14	4	effectively	effectively	ADV
gs-4268	14	5	minimizes	minimize	VERB
gs-4268	14	6	the	the	DET
gs-4268	14	7	occurrence	occurrence	NOUN
gs-4268	14	8	of	of	ADP
gs-4268	14	9	dosing	dosing	NOUN
gs-4268	14	10	and	and	CCONJ
gs-4268	14	11	protocol	protocol	NOUN
gs-4268	14	12	deviations	deviation	NOUN
gs-4268	14	13	,	,	PUNCT
gs-4268	14	14	proving	prove	VERB
gs-4268	14	15	highly	highly	ADV
gs-4268	14	16	beneficial	beneficial	ADJ
gs-4268	14	17	for	for	ADP
gs-4268	14	18	both	both	CCONJ
gs-4268	14	19	critical	critical	ADJ
gs-4268	14	20	care	care	NOUN
gs-4268	14	21	education	education	NOUN
gs-4268	14	22	and	and	CCONJ
gs-4268	14	23	adherence	adherence	NOUN
gs-4268	14	24	to	to	ADP
gs-4268	14	25	guidelines	guideline	NOUN
gs-4268	14	26	in	in	ADP
gs-4268	14	27	diverse	diverse	ADJ
gs-4268	14	28	clinical	clinical	ADJ
gs-4268	14	29	environments	environment	NOUN
gs-4268	14	30	.	.	PUNCT
gs-4268	15	1	keywords	keyword	NOUN
gs-4268	15	2	:	:	PUNCT
gs-4268	15	3	pediatric	pediatric	ADJ
gs-4268	15	4	shock	shock	NOUN
gs-4268	15	5	;	;	PUNCT
gs-4268	15	6	hypotension	hypotension	NOUN
gs-4268	15	7	;	;	PUNCT
gs-4268	15	8	age	age	NOUN
gs-4268	15	9	-	-	PUNCT
gs-4268	15	10	stratified	stratify	VERB
gs-4268	15	11	protocol	protocol	NOUN
gs-4268	15	12	;	;	PUNCT
gs-4268	15	13	international	international	ADJ
gs-4268	15	14	guidelines	guideline	NOUN
gs-4268	15	15	;	;	PUNCT
gs-4268	15	16	clinical	clinical	ADJ
gs-4268	15	17	education	education	NOUN
gs-4268	15	18	.	.	PUNCT