Sudden infant death syndrome - Revision history

SMReel: /* Protective Factors */

2022-04-30T03:03:23Z

Protective Factors

← Older revision		Revision as of 03:03, 30 April 2022
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	*Immunizations		*Immunizations
	*Home monitoring is NOT protective		*Home monitoring is NOT protective
			*Recommend safe sleep to all families (the ABC's = Alone, on Back, in Crib)

	==Clinical Features==		==Clinical Features==

2019-07-18T20:46:54Z

← Older revision		Revision as of 20:46, 18 July 2019
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	==Evaluation==		==Evaluation==
			*Examine for signs of [[nonaccidental trauma]]
			**Bruising, petechiae (especially to face on conjunctivae), torn frenulum, blood in mouth or nares
			*SIDS is a post-mortem diagnosis; ED chart should read "sudden unexpected death in infancy"

	==Management==		==Management==
	*Infants with rigor mortis, livedo reticulrais, pH <6, or reduced temperature in absence of environmental hypothermia should not be resuscitated		*Infants with rigor mortis, livedo reticulrais, pH <6, or reduced temperature in absence of environmental hypothermia should not be resuscitated
	*Examine for signs of [[nonaccidental trauma]]		*Do not manipulate body - all cases require evaluation by coroner/ME
	**Bruising, petechiae (especially to face on conjunctivae), torn frenulum, blood in mouth or nares
	*Do not manipulate body- all cases require evaluation by coroner/ME
	*SIDS is a post-mortem diagnosis; ED chart should read "sudden unexpected death in infancy"

	==Disposition==		==Disposition==
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	==References==		==References==
	<references/>		<references/>
			*The Sudden Infant Death Syndrome. N Engl J Med 2009; 361:795-805

	*The Sudden Infant Death Syndrome. N Engl J Med 2009; 361:795-805
	[[Category:Pediatrics]]		[[Category:Pediatrics]]

2019-07-18T20:45:18Z

Differential Diagnosis

2019-07-18T20:44:25Z

Management

← Older revision		Revision as of 20:44, 18 July 2019
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	*Do not manipulate body- all cases require evaluation by coroner/ME		*Do not manipulate body- all cases require evaluation by coroner/ME
	*SIDS is a post-mortem diagnosis; ED chart should read "sudden unexpected death in infancy"		*SIDS is a post-mortem diagnosis; ED chart should read "sudden unexpected death in infancy"

			==Disposition==
			*Deceased, by definition

	==See Also==		==See Also==

2019-07-18T20:43:56Z

2019-07-18T20:43:21Z

Management

← Older revision		Revision as of 20:43, 18 July 2019
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	==Management==		==Management==
	*Infants with rigor mortis, livedo reticulrais, pH <6, or reduced temperature in absence of environmental hypothermia should not be resuscitated		*Infants with rigor mortis, livedo reticulrais, pH <6, or reduced temperature in absence of environmental hypothermia should not be resuscitated
	*Examine for signs of ~~NAT~~		*Examine for signs of [[nonaccidental trauma]]
	**Bruising, petechiae (especially to face on conjunctivae), torn frenulum, blood in mouth or nares		**Bruising, petechiae (especially to face on conjunctivae), torn frenulum, blood in mouth or nares
	*Do not manipulate body- all cases require evaluation by coroner/ME		*Do not manipulate body- all cases require evaluation by coroner/ME

2019-07-18T20:42:15Z

Clinical Features

← Older revision		Revision as of 20:42, 18 July 2019
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	==Clinical Features==		==Clinical Features==
			*Unexpected death of infants <1yr for which no pathologic cause can be determined

	==Differential Diagnosis==		==Differential Diagnosis==

2019-06-20T15:46:07Z

Background

← Older revision		Revision as of 15:46, 20 June 2019
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	===Risk Factors===		===Risk Factors===
	*Prone sleeping		*Prone sleeping
			**Odds ratio of 4.92, one of biggest modifiable risk factors
			**Likely from combination of hypercarbia and hyperthermia (heat dissipated through head)
	*Soft bedding		*Soft bedding
	*Bed-sharing		*Bed-sharing
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	*Prematurity / Developmental delay		*Prematurity / Developmental delay
	*Socioeconomic disadvantage		*Socioeconomic disadvantage
			*Mothers <20 yo
	*Maternal exposure to smoking, alcohol, drugs of abuse		*Maternal exposure to smoking, alcohol, drugs of abuse

			===Protective Factors===
			*Use of pacifier
			*Breastfeeding
			*Immunizations
			*Home monitoring is NOT protective

	==Clinical Features==		==Clinical Features==
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	==Management==		==Management==
	*Infants with rigor mortis, livedo reticulrais, pH <6, or reduced temperature in absence of environmental hypothermia should not be resuscitated		*Infants with rigor mortis, livedo reticulrais, pH <6, or reduced temperature in absence of environmental hypothermia should not be resuscitated
			*Examine for signs of NAT
			**Bruising, petechiae (especially to face on conjunctivae), torn frenulum, blood in mouth or nares
			*Do not manipulate body- all cases require evaluation by coroner/ME
			*SIDS is a post-mortem diagnosis; ED chart should read "sudden unexpected death in infancy"

	==See Also==		==See Also==

2019-04-03T04:27:39Z

← Older revision		Revision as of 04:27, 3 April 2019
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	==Background==		==Background==
			*Abbreviation: SIDS
	*Unexpected death of infants <1yr for which no pathologic cause can be determined		*Unexpected death of infants <1yr for which no pathologic cause can be determined
	**Most deaths occur between 2-4 months of age		**Most deaths occur between 2-4 months of age

2019-04-03T04:23:29Z

← Older revision	Revision as of 04:23, 3 April 2019
(No difference)

← Older revision		Revision as of 20:43, 18 July 2019
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	==See Also==		==See Also==
	*[[~~Apparent Life-Threatening Event (ALTE)~~]]		*[[Neonatal resuscitation]]

	==References==		==References==