Patwari Academy videos: The Crashing Neonate

Posted by Michelle Lin, MD on

In this series of videos, Dr. Rahul Patwari reviews the approach to the crashing neonate. Because these cases are often stressful, it is paramount to keep in mind a broad list of potential causes, such as “THE MISFITS” mnemonic:

  • T rauma/abuse
  • H eart disease
  • E ndocrine (CAH, hyperthyroid)
  • M etabolic (hypoglycemia, hyponatremia)
  • I nborn errors
  • S epsis
  • F ormula mishaps
  • I ntestinal catastrophes
  • T oxins (home remedies)
  • S eizures

Setting up the case

Approach to the crashing neonate and elaboration of the “THE MISFITS” mnemonic

Focusing specific on a traumatic etiology

Author information

ALiEM Founder and CEO
Professor and Digital Innovation Lab Director
Department of Emergency Medicine
University of California, San Francisco

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