Patwari Academy videos: The Crashing Neonate

Screen Shot 2013-07-02 at 4.50.44 PMIn 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

Screen Shot 2013-07-02 at 4.50.44 PMIn 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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