Approach to the Sick Neonate (<1 month age) 1) Bring to Warmer, Call for Help 2) Apply Monitors & Do Vitals 3) Do Special Baby Vitals 4) Check & Replace Glucose 5) Obtain Access 6) Start Empiric Management 7) Do Work Up Differential Diagnosis - THE MISFITS Mnemonic: T - Trauma (NAI) H - Heart (SVT, CHD), Hypovolemia E - Endocrine (CAH, Thyroid) M - Metabolic (Glucose, Na) I - Inborn Error of Metabolism S - Sepsis F - Formula dilution I - Intestinal (Nec, Volvulus) T - Toxins S - Seizures Dr. Sarah Foohey @SarahFoohey #Sick #Neonate #pediatrics #neonatal #differential #diagnosis #peds
