Claire L Barker, BA (Hons), MBBS (Hons), MRPCH, FRCA, Registrar.
Paediatric Emergency Medicine
Practical management of the shocked neonate
Version of Record online: 29 NOV 2012
© 2012 The Author. EMA © 2012 Australasian College for Emergency Medicine and Australasian Society for Emergency Medicine
Emergency Medicine Australasia
Volume 25, Issue 1, pages 83–86, February 2013
How to Cite
Barker, C. L. (2013), Practical management of the shocked neonate. Emergency Medicine Australasia, 25: 83–86. doi: 10.1111/1742-6723.12009
- Issue online: 4 FEB 2013
- Version of Record online: 29 NOV 2012
- Manuscript Accepted: 18 OCT 2012
- non-accidental injury;
The shocked neonate often causes anxiety in the ED. This article aims to provide a systematic, practical approach to recognition and initial management of these patients. Their resuscitation should follow a pattern of provision of oxygen, fluid resuscitation, blood glucose correction, inotropic support and ventilation. Practical tips for intravenous access and the rationale behind choice of inotrope and anaesthetic induction agent are discussed. The major underlying causes – sepsis, cardiac disease, metabolic disease and non-accidental injury – along with their investigation and management are considered.