01.07.2018 - By Zack Olson, MD and Michael Estephan, MD
When you have a critically ill child in front of you, always remember, OH SHIT, Grab the Broslow!!!
Oxygen- Apply Oxygen and Consider Airway/Respiratory Emergencies
* Foreign body* Peritonsillar abscess* Bacterial tracheitis* Epiglottitis* Retropharyngeal Abscess* Bronchiolitis* Asthma* Croup* Pneumonia* Cystic Fibrosis
Hyper/Hypoglycemia- Check Blood Glucose
* Hypoglycemia* DKA
Sepsis- Consider Sepsis and Serious Bacterial Infections
* Pediatric sepsis* Fever <30 days of age* Fever 30-60 days of age* Fever >60 days of age
Heart- Consider Congenital Heart Abnormalities
* Truncus arteriosis* Transposition of great vessels* Tricuspid atresia* Tetrology of fallot* Total anomalous pulmonary venous return* Ductal dependent lesions* Congestive heart failure
Inborn Errors of Metabolism/Endocrinology
* Congenital adrenal hyperplasia
Tummy/Trauma- Consider Abdominal Processes and Non Accidental Trauma
* Non-accidental trauma* Necrotizing enterocolitis* Volvulus* Toxic megacolon* Intussusception* Pyloric stenosis
And never forget… If you feel flustered… GRAB THE BROSLOW!!!
Additional Reading
* Peds Oxygen, Airway, and Respiratory Disorders (EM Clerkship)* Peds Hyper/Hypoglycemia (EM Clerkship)* Peds Sepsis and Serious Bacterial Infections (EM Clerkship)* Peds Heart Failure and Congenital Heart Disorders (EM Clerkship)* Peds Inborn Error of Metabolism and Endocrinology (EM Clerkship)* Peds Trauma and Tummy Ache (EM Clerkship)