• Emerg Med Australas · Feb 2013

    Practical management of the shocked neonate.

    • Claire L Barker.
    • Careflight, Sydney, New South Wales, Australia; Guy's and St Thomas' Hospitals, London, UK. claire.barker@careflight.org
    • Emerg Med Australas. 2013 Feb 1;25(1):83-6.

    AbstractThe shocked neonate often causes anxiety in the ED. This article aims to provide a systematic, practical approach to recognition and initial management of these patients. Their resuscitation should follow a pattern of provision of oxygen, fluid resuscitation, blood glucose correction, inotropic support and ventilation. Practical tips for intravenous access and the rationale behind choice of inotrope and anaesthetic induction agent are discussed. The major underlying causes - sepsis, cardiac disease, metabolic disease and non-accidental injury - along with their investigation and management are considered.© 2012 The Author. EMA © 2012 Australasian College for Emergency Medicine and Australasian Society for Emergency Medicine.

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