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

Michelle Lin, MD

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

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