Hello, med students.

My name is Zach Olson and thank you for downloading this week's episode of the EM Clerkship Podcast.

Big topic this week.

Holy crap, we need to just get started.

This week, we're still going through our organized mnemonic.

Oh, shit.

Grab the braslow. This is the

algorithm that we run through in our brain whenever that sick child or that sick neonate

comes into the emergency department. And today is H. Heart. And the big, big thing that you

need to remember today, the big treatment is

prostaglandin. Sick neonates that are less than 30 days old and they're in shock and they look bad,

you need to consider giving prostaglandin. Prostaglandin opens up the ductus arteriosis, which temporizes

ductal dependent lesions, which we're going to cover. Just remember prostaglandin. But let's back up,

because today we're actually covering three general categories of cardiac problems.

So hang with me.

Those three categories are the five cyanotic heart lesions, ductal dependent lesions in that first

month of life where you're given those prostaginol anins and then congestive heart failure.

Those are the three categories to know.

Starting with cyanotic heart lesions,

they can present first couple days of life

all the way through infancy,

and there are five.

...