alexa A Practical Approach to Emergencies in the Neonatal Period
ISSN: 2167-0897

Journal of Neonatal Biology
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Review Article

A Practical Approach to Emergencies in the Neonatal Period

Alonso Mata-Peréz1, Manuel Soto-Martínez2 and Adriana Yock-Corrales1*
1Emergency Department, Hospital Nacional de Niños “Dr. Carlos Saenz Herrera”, San José, Costa Rica
2Respiratory Department, Hospital Nacional de Niños “Dr. Carlos Sáenz Herrera”, San José, Costa Rica
*Corresponding Author : Adriana Yock-Corrales
Servicio de Emergencias Pediátricas
Hospital Nacional de Niños “Dr. Carlos Sáenz Herrera”
Avenida Paseo Colón, San José, Costa Rica
Tel: (506) 8390-0516
E-mail: [email protected]
Received: January 26, 2016; Accepted: February 17, 2016; Published: February 25, 2016
Citation: Peréz AM, Martínez MS, Corrales AY (2016) A Practical Approach to Emergencies in the Neonatal Period. J Neonatal Biol 5:213. doi:10.4172/2167-0897.1000213
Copyright: © 2016 Peréz AM, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
 

Abstract

All emergency departments should be prepared to care for a critically ill infant, including having the appropriate sized equipment. The most common diagnosis in admitted neonates include respiratory infections, sepsis, congenital heart disease, bowel obstruction, hypoglycemia and seizures. Febrile neonates are at high risk for sepsis and therefore need blood, urine and CSF testing. These patients should receive empiric antibiotic therapy in hospital. There are many life-threatening illness that can affect this population and is the responsibility of the emergency physician to assess the neonate, stabilize, narrow the differential diagnosis to the most likely and begin life-sustaining treatment. Very different types of illnesses can affect a child in the neonatal period and some can give us different clinical presentation. For example, the spectrum of congenital heart disease presenting in the newborn period and early infancy ranges from benign to catastrophic. Neonatal seizures may have subtle manifestations and require a different approach than seizures in older infants and children. This is a review of the more common but life threatening pathologic conditions in the neonate if not managed adequately.

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