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)