How to Save a Dying Baby
EM Clerkship
Zack Olson, MD ; Mike Estephan, MD ; Maddie Watts, MD
4.9 • 816 Ratings
🗓️ 7 January 2018
⏱️ 6 minutes
🧾️ Download transcript
Summary
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)
Transcript
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| 0:00.9 | Hello, men students. |
| 0:02.6 | My name is Zach Olson, and thank you for downloading this week's episode of the EM Clerkship Podcast. |
| 0:09.2 | Here's this week's case. |
| 0:17.1 | Okay, everybody, this is Dakota. |
| 0:19.1 | He's a three-and-a-half-year-old male. |
| 0:20.6 | He's awoken with diffuse |
| 0:21.8 | abdominal pain. According to mom, he vominated about five times. Some of that was productive. |
| 0:27.0 | Has a rash on the anterior chest. He was lethargic when we got there since we've been there |
| 0:31.6 | with him and through the transport. Now crying, as you can see. Lone sounds were clear as far as |
| 0:37.2 | we could tell. |
| 0:38.3 | We then noticed O2 sats dropping and had cyanosis around the lips. |
| 0:42.3 | So he put him on O2. |
| 0:44.3 | He had no previous fever, now 102.3 rectal. |
| 0:49.3 | Mom and extended family are out here, so just FYI. |
| 0:52.3 | GCS at 10 BP 100 over 60 |
| 0:55.0 | Pulse 20 97% on the O2 and no allergies no meds had not been sick for the past couple days any questions anybody I know it's a lot he's kind of crunking on us okay thank you So this is a disaster, right? |
| 1:15.3 | Pediatric emergencies happen all of the time in real life, |
| 1:20.3 | commonly enough so that you will see all of the stuff that you learn about in medical school many, many times. |
| 1:27.4 | But just rare enough so that right when you start to in medical school many, many times, but just rare enough |
| 1:28.6 | so that right when you start to get rusty on the approach to a sick kid, bam, a train wreck |
| 1:34.5 | lands in your lap and it's like you forgot everything you've ever learned. |
| 1:38.9 | You combine that with panicking and interfering parents, difficult IV access, a child that could be literally |
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