Pediatric emergency medicine trisk 2469 2469
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Temperature regulation can also be altered in infants with hypoxic–ischemic
injury. In patients presenting with hypoxia–ischemia (e.g., after cardiac arrest),
fever should be aggressively prevented because hyperthermia can worsen
neurologic injury.
COLOR CHANGES AND DERMATOLOGIC FINDINGS
Goals of Emergency Care
The goal is to recognize the difference between benign presentations, such as
acrocyanosis, and life-threatening conditions, such as true cyanosis and pallor.
KEY POINTS
Evaluation of jaundice requires assessment of both direct and indirect
bilirubin.
Acceptable levels of indirect hyperbilirubinemia depend on both
prematurity and postnatal age.
Many neonates with herpes simplex virus (HSV) infection have a
negative maternal history of HSV.
RELATED CHAPTERS
Signs and Symptoms
Cyanosis: Chapter 21
Jaundice: Conjugated Hyperbilirubinemia and Jaundice: Unconjugated
Hyperbilirubinemia: Chapters 44 and 45
Pallor: Chapter 62
Rash: Neonatal: Chapter 69
Septic-Appearing Infant: Chapter 73
Medical, Surgical, and Trauma Emergencies
Cardiac Emergencies: Chapter 86
Dermatologic Urgencies and Emergencies: Chapter 88
The Children’s Hospital of Philadelphia Clinical Pathways
