Category Neonatal Issues

Transillumination for and Aspiration of Pneumothorax in Neonates

We mentioned in last week’s Morsel that for neonates not responding to resuscitative efforts, that you can transilluminate the chest to determine if there is a pneumothorax present. Let’s finish that discussion: Neonates are prone to developing a pneumothorax. Lack…

Neonatal Resuscitation

It is October and all of the stores have their scariest Halloween devices out… but nothing will make you loose your breath more quickly than a woman delivering precipitously in your ED! When you are awoken from your regular workflow…

Don’t be afraid of PGE1

Just mentioning congenital heart disease (CHD) to most physicians causes an involuntary tightening of muscles in regions we dare not mention; yet, given the fact you are often the only one standing at the bedside, you have learned to work…

Hyperbilirubinemia

Jaundice can be a normal part of the neonatal period (certainly both of my kids looked like the Yellow M&M for a short period in their beginnings); however, hyperbilirubinemia also generates the concern for the development of kernicterus (abnormal accumulation…

Contrast Dye and Breastfeeding

Working in the Pediatric ED will often make you the default expert in ALL realms of pediatrics. Even if the actual patient isn’t a child, the issue may revolve around concerns for a child… and you are the lucky one…

Gross Growth Estimates

One of the most unique aspects of pediatrics is growth and development… and how these impact your evaluation. Even in the emergency department these must be considered. For instance, when determining if that 6 month old was able to crawl…

Interosseous Access for the Neonate in Need

Interosseous Access for the Neonate in Need The neonate in shock strikes fear into even the most veteran physicians (and certainly makes my brain slip a gear or three). Part of the reason is that it happens relatively infrequently (why…