Lethargic Infant

Publication ID Published Version
755 December 26, 2007 1


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.


Noeller T, Smith M. Lethargic Infant. MedEdPORTAL Publications; 2007. Available from: https://www.mededportal.org/publication/755   http://dx.doi.org/10.15766/mep_2374-8265.755

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.


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


  • Medical
    • Emergency Medicine
    • Pediatrics


  • Knowledge for Practice
  • Patient Care

Professional Interest

  • Evaluation of Clinical Performance
  • Instructional Materials/Methods

Instructional Methods

  • Case-based Instruction/Learning
  • Problem-based Learning (PBL)
  • Simulation

Academic Focus

  • Clinical Sciences
    • Clinical Exam
    • Clinical Skills/Doctoring

Intended Audience

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

Join the Conversation

Share your thoughts with other users. Please sign in to comment on this material.

Material Access

Please sign in to access this material.

Please register for an AAMC account if you do not have one.


Browse Publications

Subscribe to Our Monthly Newsletter

Receive featured content & announcements!

  • MedEdPORTAL Home
  • Register
  • My MedEdPORTAL
  • Contact Us

ISSN 2374-8265