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Pediatric early warning signs. Pediatric early warning signs (PEWS) are clinical manifestations that indicate rapid deterioration in pediatric patients, infancy to adolescence. A PEWS score or PEWS system refers to assessment tools that incorporate the clinical manifestations that have the greatest impact on patient outcome. [1]
An early warning score (EWS) is a guide used by medical services to quickly determine the degree of illness of a patient. It is based on the vital signs (respiratory rate, oxygen saturation, temperature, blood pressure, pulse / heart rate, AVPU response). [1] Scores were developed in the late 1990s when studies showed that in-hospital ...
A neonatal seizure is a seizure in a baby younger than age 4-weeks that is identifiable by an electrical recording of the brain. [1] It is an occurrence of abnormal, paroxysmal, and persistent ictal rhythm with an amplitude of 2 microvolts in the electroencephalogram,. [2] These may be manifested in form of stiffening or jerking of limbs or trunk.
Early-onset neonatal sepsis is found to be 0.77 to 1 per 100,000 live births in the U.S. In premature babies, the incidence and mortality rates are higher due to the weakness of their immune system. For infants with low birth weight, cases of early-onset sepsis is found to be about 26 per 1,000 and 8 per 1,000 live births.
Neonatal meningitis is a serious medical condition in infants that is rapidly fatal if untreated. Meningitis , an inflammation of the meninges , the protective membranes of the central nervous system , is more common in the neonatal period (infants less than 44 days old) than any other time in life, and is an important cause of morbidity and ...
Neonatal encephalopathy (NE), previously known as neonatal hypoxic-ischemic encephalopathy (neonatal HIE or NHIE), is defined as a encephalopathy syndrome with signs and symptoms of abnormal neurological function, in the first few days of life in an infant born after 35 weeks of gestation. [1][2] In this condition there is difficulty initiating ...
Moro reflex. The Moro reflex in a four-day-old infant: 1) the reflex is initiated by pulling the infant up from the floor and then releasing him; 2) he spreads his arms; 3) he pulls his arms in; 4) he cries (10 seconds) Moro reflex while sleeping. The Moro reflex is an infantile reflex that develops between 28 and 32 weeks of gestation and ...
Neonatal withdrawal or neonatal abstinence syndrome (NAS) or neonatal opioid withdrawal syndrome (NOWS) is a withdrawal syndrome of infants, caused by the cessation of the administration of licit or illicit drugs. Tolerance, dependence, and withdrawal may occur as a result of repeated administration of drugs or even after short-term high-dose ...