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Episode Overview:

In this episode, the crew dives deep into neonatal and pediatric emergency care with Dr. Arielle Olicker, a neonatologist at University Hospitals in Cleveland. The discussion covers various topics, including resuscitation, early life illnesses, birth defects, and more.

Key Topics and Discussions:

1. Resuscitation of Neonates:

   • Detailed discussion on the techniques and importance of neonatal resuscitation.

   • Addressing common challenges and considerations in the field.

2. Chronic Opioid-Dependent Children:

   • Overview of opioid dependency in neonates born to opioid-dependent mothers.

   • Treatment protocols and the impact of maternal opioid use on newborns.

3. Risks of Using Narcan in Newborns:

   • Potential dangers of administering Narcan to newborns.

   • Appropriate scenarios and considerations for its use.

4. Medication Use in Neonates:

   • Differences between medications like morphine and fentanyl.

   • The risks associated with rigid chest from fentanyl use.

5. Febrile Illnesses and Seizures:

   • Importance of recognizing and treating febrile illnesses in newborns.

   • Discussion on the management of febrile seizures and their implications.

6. Congenital and Acquired Heart Conditions:

   • Identifying and managing heart conditions in neonates and infants.

   • Impact of conditions like tachyarrhythmias on feeding and overall health.

7. Blood Collections in the Scalp:

   • Differentiating between types of scalp hematomas (Caput Succedaneum, Cephalohematoma, and Subgaleal Hematoma).

   • Recognizing and managing subgaleal hematomas, which are life-threatening.

8. Safe Sleep Practices:

   • The importance of following safe sleep guidelines to prevent SIDS and suffocation.

   • Addressing common misconceptions and educating parents on safe sleep practices.

9. RSV (Respiratory Syncytial Virus):

   • The significance of RSV in neonates and high-risk infants.

   • New advancements in passive immunity and monoclonal antibody treatments.

10. Immunizations and Newborn Screening:

    • The importance of timely vaccinations and newborn screenings.

    • Addressing vaccine hesitancy and ensuring comprehensive care for newborns.

Additional Resources:

• For more information on safe sleep practices, visit the AAP Safe Sleep Guidelines.

• To learn more about RSV and its management, check out the CDC RSV Information.

Continuing Education Credit:

This episode offers one hour of free Ohio CE in pediatric care. Visit Pre-Hospital Paradigm CE for more details and to claim your credit

The Protocols

From The Episode