Neonatal Emergencies (Red & White Emergency Medicine)

257 Pages·2009·8.11 MB·English

by  Richard Cantor

Neonatal
Emergencies
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Neonatal
Emergencies
Richard M. Cantor, MD, FAAP, FACEP
Associate Professor of Emergency Medicine
Pediatric Emergency Department
State University of New York—Upstate Medical University
Syracuse, New York
P. David Sadowitz, MD
Associate Professor of Emergency Medicine
Pediatric Emergency Department
State University of New York—Upstate Medical University
Syracuse, New York
Medical
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Contents
Contributors. . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . vii
Preface . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ix
Acknowledgments . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . xi
Chapter 1. HEENT Emergencies of the Infant . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Deborah J. Mann, MD
Chapter 2. Neurologic Emergencies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
Linnea Wittick, MD
Chapter 3. Respiratory Emergencies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57
Jennifer Mackey, MD
Chapter 4. Cardiac Emergencies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73
Jahn Avarello, MD
Chapter 5. Gastrointestinal Emergencies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 101
Derek Cooney, MD
Richard M. Cantor, MD, FAAP/FACEP
Chapter 6. Neonatal Genitourinary Emergencies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 129
Brian Stout, MD
Chapter 7. Orthopedic Emergencies in the Neonate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 145
P. David Sadowitz, MD
Lisa Keough, MD
Norma Cooney, MD
Chapter 8. Dermatologic Disorders in the First 30 Days of Life . . . . . . . . . . . . . . . . . . . . . 157
James D’Agostino, MD
v
vi CONTENTS
Chapter 9. Neonatal Infections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 179
P. David Sadowitz, MD
LaLainia Secreti, MD
Jeff Lapoint, DO
Chapter 10. Hematologic Emergencies in the Neonate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 193
P. David Sadowitz, MD
Trisha Tavares, MD
Chapter 11. Selected Topics in Neonatal Pharmacology . . . . . . . . . . . . . . . . . . . . . . . . . . . . 217
Jeanna Marraffa, PharmD
Jamie Nelsen, PharmD
Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 235
Contributors
Jahn Avarello, MD Lisa Keough, MD
Director, Pediatric Emergency Medicine Assistant Professor
Huntington Hospital Department of Emergency
Attending, Pediatric Emergency Medicine Medicine
North Shore University Hospital State University of New York-Upstate
Manhasset, New York Medical University
Syracuse, New York
Richard M. Cantor, MD, FAAP, FACEP
Associate Professor of Emergency Medicine
Jeff Lapoint, DO
Pediatric Emergency Department
Resident Physician
State University of New York-Upstate
Department of Emergency
Medical University
Medicine
Syracuse, New York
State University of New York-Upstate
Medical University
Derek Cooney, MD
Assistant Professor Syracuse, New York
Department of Emergency Medicine
State University of New York-Upstate
Jennifer Mackey, MD, FAAP
Medical University
Assistant Professor
Syracuse, New York
Department of Emergency Medicine and
Pediatrics
Norma Cooney, MD
State University of New York-Upstate
Assistant Professor
Medical University
Department of Emergence Medicine
Syracuse, New York
State University of New York-Upstate
Medical University
Syracuse, New York Deborah J. Mann, MD
Assistant Professor
James D’Agostino, MD Department of Emergency
Assistant Professor of Emergency Medicine Medicine
and Pediatrics State University of State University of New York-Upstate
New York-Upstate Medical University Medical University
Syracuse, New York Syracuse, New York
vii
viii NEONATAL EMERGENCIES
Jeanna Marraff a, PharmD Brian Stout, MD
Assistant Professor Assistant Professor
Departments of Emergency Medicine and Department of Emergency Medicine
Medicine State University of New York-Upstate
Section of Clinical Pharmacology Medical University
State University of New York Upstate Syracuse, New York
Medical University
Syracuse, New York
Trisha Tavares, MD
Assistant Professor
Jamie L. Nelsen, PharmD, DABAT
Department of Pediatrics
Assistant Professor
State University of New York-Upstate
Department of Emergency Medicine
Medical University
State University of New York-Upstate
Syracuse, New York
Medical University
Syracuse, New York
Linnea Wittick, MD
P. David Sadowitz, MD Fellow in Pediatric Emergency Medicine
Associate Professor of Emergency Department of Emergency Medicine
Medicine State University of New York-Upstate
Pediatric Emergency Department Medical University
State University of New York-Upstate Syracuse, New York
Medical University
Syracuse, New York
LaLainia Secreti, MD
Assistant Professor
Department of Emergency Medicine
State University of New York-Upstate
Medical University
Syracuse, New York
Preface
The delivery of emergency care to infants may indeed be quite complex. The goal of this
and children remains both a challenge and a text is to guide the provider in a systematic
privilege. It can be one of the most humbling approach to any and all problems within this
yet rewarding experiences for the emergency fragile population.
health care provider. This text was developed The text is divided into sections based
to assist our colleagues in the evaluation and on organ systems. There will be much cross-
treatment of children of a young age. The gen- over within each section, only highlighting the
esis of this text arose from both clinical expe- commonalty of complaint that can result from
rience and an obvious need within the practice a multitude of disparate medical problems. We
of emergency medicine for a greater emphasis are hopeful that our readers fi nd it to be a
to be placed on these high risk infants. At such useful tool in addressing the needs of the very
young developmental and chronological ages, young infant.
these patients present with a miriad of undif-
ferentiated complaints. Their histories may be Richard M. Cantor, MD, FAAP/FACEP
short but the complexity of their problems P. David Sadowitz, MD
ix