Neonatal endocrine emergencies: a primer for the emergency physician.
The resuscitation principles of securing the airway and stabilizing hemodynamics remain the same in any neonatal emergency. However, stabilizing endocrine disorders may prove especially challenging. Several organ systems are affected simultaneously and the clinical presentation can be subtle. Although not all-inclusive, the implementation of newborn screening tests has significantly reduced morbidity and mortality in neonates. Implementing routine screening tests worldwide and improving the accuracy of present tests remains the challenge for healthcare providers. With further study of these disorders and best treatment practices we can provide neonates presenting to the emergency department with the best possible outcomes.
Section of Emergency Medicine, Baylor College of Medicine, 1504 Taub Loop Road, Houston, TX 77030, USA.
Elizabeth
E
Park
Department of Emergency Medicine, San Antonio Military Medical Center, 3551 Roger Brooke Drive, San Antonio, TX 78234, USA.
Nadia M
NM
Pearson
Section of Emergency Medicine, Baylor College of Medicine, 1504 Taub Loop Road, Houston, TX 77030, USA. Electronic address: tysonpillow@gmail.com.
M Tyson
MT
Pillow
Section of Emergency Medicine, Baylor College of Medicine, 1504 Taub Loop Road, Houston, TX 77030, USA.
Alexander
A
Toledo
D004630:Emergencies; D004636:Emergency Service, Hospital; D004700:Endocrine System Diseases / Q000628:therapy*; D006801:Humans; D007231:Infant, Newborn; D012151:Resuscitation / Q000379:methods*
Congenital adrenal hyperplasia; Hypocalcemia; Hypoglycemia; Hyponatremia; Hypothyrodism; Jaundice; Neonatal emergencies