We discuss an approach to the critically ill infant.
Hosts:
Ellen Duncan, MD, PhD
Brian Gilberti, MD



https://media.blubrry.com/coreem/content.blubrry.com/coreem/The_Critically_Ill_Infant.mp3



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Tags: Pediatrics





Show Notes
The Critically Ill Infant: THE MISFITS
Trauma

‘T’ in the mnemonic stands for trauma, which includes both accidental and intentional causes.
Considerations for Non-accidental Trauma:

Stresses the importance of considering non-accidental trauma, especially given that it may not always present with obvious external signs.


Anatomical Vulnerabilities:

Highlights specific anatomical considerations for infants who suffer from trauma:

Infants have proportionally larger heads, increasing their susceptibility to high cervical spine (c-spine) injuries.
Their liver and spleen are less protected, making abdominal injuries potentially more severe.





Heart

5 T’s of Cyanotic Congenital Heart Disease: Introduces a mnemonic to help remember key right-sided ductal-dependent lesions:

Truncus Arteriosus: Single vessel serving as both pulmonary and systemic outflow tract.
Transposition of the Great Arteries: The pulmonary artery and aorta are switched, leading to improper circulation.
Tricuspid Atresia: Absence of the tricuspid valve, leading to inadequate development of the right ventricle and pulmonary circulation issues.