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
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