Background: Shock is one of the most dramatic, dynamic and life-threatening problems faced by the physician in critical care setting.The mortality rate of shock in pediatric patients has declined as a consequence of educational efforts (pediatric advance life support), which emphasize early recognition and intervention and rapid transfer of critically ill patients to a PICU via a transport service. To know about the risk factors in a critically ill child with shock and its association with outcome, will give us an early clue in identifying and prioritizing management strategies.