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How to Save a Dying Baby

Author
Zack Olson, MD and Michael Estephan, MD
Published
Sun 07 Jan 2018
Episode Link
https://emclerkship.blubrry.net/2018/01/07/how-to-save-a-dying-baby/




When you have a critically ill child in front of you, always remember, OH SHIT, Grab the Broslow!!!











Oxygen- Apply Oxygen and Consider Airway/Respiratory Emergencies











* Foreign body* Peritonsillar abscess* Bacterial tracheitis* Epiglottitis* Retropharyngeal Abscess* Bronchiolitis* Asthma* Croup* Pneumonia* Cystic Fibrosis











Hyper/Hypoglycemia- Check Blood Glucose











* Hypoglycemia* DKA











Sepsis- Consider Sepsis and Serious Bacterial Infections











* Pediatric sepsis* Fever <30 days of age* Fever 30-60 days of age* Fever >60 days of age











Heart- Consider Congenital Heart Abnormalities











* Truncus arteriosis* Transposition of great vessels* Tricuspid atresia* Tetrology of fallot* Total anomalous pulmonary venous return* Ductal dependent lesions* Congestive heart failure











Inborn Errors of Metabolism/Endocrinology











* Congenital adrenal hyperplasia











Tummy/Trauma- Consider Abdominal Processes and Non Accidental Trauma











* Non-accidental trauma* Necrotizing enterocolitis* Volvulus* Toxic megacolon* Intussusception* Pyloric stenosis











And never forget… If you feel flustered… GRAB THE BROSLOW!!!











Additional Reading











* Peds Oxygen, Airway, and Respiratory Disorders (EM Clerkship)* Peds Hyper/Hypoglycemia (EM Clerkship)* Peds Sepsis and Serious Bacterial Infections (EM Clerkship)* Peds Heart Failure and Congenital Heart Disorders (EM Clerkship)* Peds Inborn Error of Metabolism and Endocrinology (EM Clerkship)* Peds Trauma and Tummy Ache (EM Clerkship)

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