Neonatal Emergencies

‘THE MISFITS’ is a popular mnemonic to assist in identifying the cause of critical illness in the neonatal period.

T = Trauma (Accidental and Non Accidental)
H = Heart Disease, Hypovolemia, Hypoxia
E = Endocrine (Congenital Adrenal Hyperplasia, Thyrotoxicosis)
M = Metabolic (Electrolyte Imbalance)
I = Inborn Errors of Metabolism
S = Sepsis (Meningitis, Pneumonia, UTI)
F = Formula Mishaps (Under or Over dilution)
I = Intestinal Catastrophes (Intussusception, Volvulus, Necrotizing Enterocolitis)
T = Toxins / Poisons
S = Seizures

From: Tonia J. Brousseau, Ghazala Q. Sharieff Neonatal Emergencies accessed 29/12/09