Dr. Andrea Ferrari lecturing about sick kids. #clinicalmonster #emconf
What to do with an ALTE baby?…….always admit for observation. http://www.ncbi.nlm.nih.gov/pubmed/22855928 #clinicalmonster #emconf
Intussusception re-occurs 7-12% post reduction. Perhaps best to observe? How long? http://pediatrics.aappublications.org/content/134/1/110.abstract … #clinicalmonster #emconf
In DKA, beta-hydroxybutyrate is the ketone measurement of choice. http://onlinelibrary.wiley.com/doi/10.1111/pedi.12154/abstract … #emconf #clinicalmonster
In DKA, consider the use of a low dose insulin drip http://onlinelibrary.wiley.com/doi/10.1111/pedi.12154/abstract … #emconf #clinicalmonster
In HHS, give Fluids! Fluids! and Fluids! If not better consider super low insulin drip. http://www.diabetesadvocacyalliance.org/pdf/PES%20Hyperglycemic%20Hyperosmolar.pdf … #emconf #clinicalmonster
And now for Dr. Wendy Chan lecturing on sick newborns. #clinicalmonster #emconf
First 60 seconds =”Golden Minute” complete initial steps, reevaluate, and begin ventilation. http://pediatrics.aappublications.org/content/126/5/e1400.full.pdf+html … #clinicalmonster #emconf
In first 10 minutes of life, titrate O2 using air or air mixed w/ O2 (ranges 60% to 95%) http://pediatrics.aappublications.org/content/117/5/e989 … #clinicalmonster #emconf
Neonatal CPR primarily a resp problem. CPR is 3:1 ratio of compressions to breaths http://pediatrics.aappublications.org/content/117/5/e989 … #clinicalmonster #emconf
HR<60 after adequate vent and compressions, IV epi may be given at a dose of .01-.03 mg/kg http://pediatrics.aappublications.org/content/126/5/e1400.full.pdf+html … #clinicalmonster #emconf
Naloxone NOT indicated during initial resuscitation, even when opiate dependent mother. http://www.ncbi.nlm.nih.gov/pubmed/16533638 #clinicalmonster #emconf
Hypothermia therapy is neuroprotective in moderate to severe hypoxic encephalopathy. http://www.nejm.org/doi/full/10.1056/NEJMcps050929 … #clinicalmonster #emconf
Antenatal FS < 25, feed and recheck in 1 hour. If still < 25 mg/dl, dose is 2ml/kg of D10. http://pediatrics.aappublications.org/content/127/3/575.full.pdf+html … #clinicalmonster #emconf
Dr. Ameer Hassoun
Kleinman M E et al. Circulation. 2010;122:S876-S908
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