Episode 33 - More Neonates
More Neonates
Released
February 2025
Hosts
Scott Wildenheim
John Hill
Caleb Ferroni
Guest
Arielle Olicker, MD
Episode Videos
Neonate Care Part 1
Neonate Care Part 2
Neonate Care Part 3
Episode Audio
Show Notes
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:
Resuscitation of Neonates:
Detailed discussion on the techniques and importance of neonatal resuscitation.
Addressing common challenges and considerations in the field.
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.
Risks of Using Narcan in Newborns:
Potential dangers of administering Narcan to newborns.
Appropriate scenarios and considerations for its use.
Medication Use in Neonates:
Differences between medications like morphine and fentanyl.
The risks associated with rigid chest from fentanyl use.
Febrile Illnesses and Seizures:
Importance of recognizing and treating febrile illnesses in newborns.
Discussion on the management of febrile seizures and their implications.
Congenital and Acquired Heart Conditions:
Identifying and managing heart conditions in neonates and infants.
Impact of conditions like tachyarrhythmias on feeding and overall health.
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.
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.
RSV (Respiratory Syncytial Virus):
The significance of RSV in neonates and high-risk infants.
New advancements in passive immunity and monoclonal antibody treatments.
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
Dr. Olicker describes various collections of blood in the scalp
Caleb recounts a newborn case he was on
John discusses trauma blood administration
Scott listens while the docs dicuss trauma in the neonate