The Cribsiders S5 Ep109: Cold Chill-dren! What to do with the Hypothermic Infant
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May 8, 2024 Dr. Sriram Ramgopal, a Pediatric Emergency Medicine specialist, discusses diagnosing hypothermic infants for sepsis, challenges in differential diagnosis, and the need for infectious workups. The podcast explores empiric antibiotic therapy, management strategies, and the importance of collaboration in neonatal hypothermia research.
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Hypothermia Definitions Vary
- Hypothermia definitions vary, but less than or equal to 36.0°C is commonly accepted.
- There's no clear consensus, affecting study comparisons and clinical decisions.
Environmental Hypothermia Nuances
- Environmental causes can lower infant temperature, but assessment must consider context.
- Temperature normalizes when rewarmed, but deciding on workup needs clinician judgment.
Hypothermia's Broad Differential
- Hypothermia in infants has a broader differential than fever, including serious infections and other causes.
- Besides bacterial infections, prematurity, hyperbilirubinemia, respiratory diseases, and feeding issues can contribute.