---
title: "Neonatal Resuscitation: A Case Study of a 10 Day Old Boy in Respiratory Distress"
description: Explore a case study of neonatal resuscitation with Med-Challenger, featuring a 10-day old boy presenting to the ED in respiratory distress.
---

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# [Neonatal Resuscitation: A Case Study of a 10 Day Old Boy in Respiratory Distress](https://challengercme.com/blog/10-day-old-neonatal-boy-presents-to-the-ed-in-respiratory-distress)

 Written by [Med-Challenger](https://challengercme.com/blog/author/med-challenger) | Dec 6, 2024 6:01:08 PM

# Neonatal Resuscitation: A Case Study of a 10 Day Old Boy in Respiratory Distress

*A 10 do neonatal boy presents to the ED in respiratory distress. VS: HR 190  RR 70 SpO2 93% on RA.  *

*He is retracting, nasal flaring and has decreased breath sounds along the left side.  He has a scaphoid abdomen.  He is placed on nasal cannula supplemental O2 and a CXR is performed.  *

*Image by permission of Kevid Boyd, DO*

*What is the most appropriate next step in ED management for this patient?*

- *Neonatal septic work-up*
- *STAT bedside echocardiogram and give a 10cc/kg bolus of normal saline*
- *Start high flow nasal cannula oxygen and IV placement*
- *Intubation and nasogastric tube placement*

 

This question appears in [Med-Challenger Pediatric Emergency Medicine Exam Review with CME - 3rd Edition](https://challengercme.com/pediatric-emergency-medicine-3rd-edition)

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