Neonatal Nuggets Part 2: tummy troubles

Author: Richard Freeman / Editor: Lauren Fraser / Codes: / Published: 18/03/2021

This session will explore common neonatal presentations that could be safely discharged from the ED without necessarily involving the on-call paediatric team. Although, as a caveat, we would always recommend working within your own competence and adhering to local guidelines! The second session will cover common tummy troubles with particular reference to evidence-based management of colic and gastro-oesophageal reflux.

Learning Objectives

By the end of this session you should be able to:

  • Recognise and manage common causes of neonatal vomiting.
  • To be able to recognise and manage cases of gastro-oesophageal reflux in an evidence-based manner.
  • To be able to recognise and manage cases of infantile colic in an evidence-based manner.
  • To be able to recognise and manage common benign neonatal conditions.
  • To reassure parents and provide appropriate safety-net advice as appropriate.
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Further reading

  1. Newborn Photo Gallery. Stanford School of Medicine [Online]. [Accessed 18th February 2021].
  2. National Institute for Health and Care Excellence. Gastro-oesophageal reflux disease in children and young people: diagnosis and management [NG1]. London: National Institute for Health and Care Excellence 2010.
  3. Cry-sis [Online]. [Accessed 18th February 2021].

References

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  2. National Institute for Health and Care Excellence. Gastro-oesophageal reflux disease in children and young people: diagnosis and management. NICE guideline [NG1] 2015.
  3. Ratnayake K, Kim TY. Evidence-based management of neonatal vomiting in the emergency department. Pediatr Emerg Med Pract 2014;11(11):1-20.
  4. Flaherman VJ et al. Early Weight Loss Nomograms for Exclusively Breastfed Newborns. Pediatrics 2015;135(1):e16-e23.
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