How to Save a Dying Baby

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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)