Lethargic Infant

Format Publication ID Version Published
Case 755 1 December 26, 2007
Case Western Reserve University School of Medicine

Description

A ten-month old male presents via Emergency Medical Services (EMS) with an altered mental status. His mother went to check on him this morning and found him in his crib lethargic, hot to the touch, and difficult to arouse. She tried putting him in a cool bath, but "he wouldn't stay awake." Paramedics found the child to be lethargic and minimally responsive. They are unable to establish intravenous therapy (IV) and transported him to the hospital. Shortly after arrival in the emergency room and the primary survey, he has a generalized seizure. The case progresses through a series of decisions including seizure management, airway management, septic shock, and cardiac arrest.

Citation

Noeller T, Smith M. Lethargic Infant. MedEdPORTAL; 2007. Available from: www.mededportal.org/publication/755

Educational Objectives

  1. To be able to gain recognition and management of altered mental status in infants.
  2. To be able to gain recognition and management of seizures in infants.
  3. To be able to gain recognition and management of septic shock and cardiovascular collapse in infants.
  4. To be able to gain involvement of family in termination of resuscitation efforts.

Keywords

  • Pulmonary Ventilation (MeSH), Shock, Septic (MeSH), Heart Arrest (MeSH), SAEM, Infant, Seizures (MeSH), Resuscitation (MeSH)

Specialty

  • Medical
    • Emergency Medicine
    • Pediatrics

Competencies Addressed

  • Medical
    • Medical Knowledge
    • Patient Care

Academic Focus

  • Clinical Sciences
    • Clinical Exam
    • Clinical Skills/Doctoring

Professional Interest

  • Evaluation of Clinical Performance
  • Instructional Materials/Methods

Intended Audience

  • Professional School
    • Medical Student
  • Professional School Post-Graduate Training
    • Resident

Instructional Methods

  • Problem-based Learning
  • Simulation

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