How to examine a newborn baby!// Don't miss these 11 findings!!
HTML-код
- Опубликовано: 5 сен 2024
- Ear tags? Webbed feet? Accessory nipples? Clavicular fracture?? A good exam of a neonate is SO important because you could be the first person who ever evaluates the baby. Here we go over the ELEVEN most frequently missed and documented physical exam findings. You would be very surprised to see what that list includes!
---------------------------------------------------------------------
Please be sure to give us a like, comment about future topics, and subscribe to this channel to stay up to date on all things NICU! Also, click the notification bell after you subscribe to gain your weekly NICU knowledge as soon as it's loaded!
---------------------------------------------------------------------
Dr. Tala is a board-certified neonatologist, and has worked in busy level III and IV units for the past 15 years. She has won multiple teaching awards throughout her time as a neonatologist.
----------------------------------------------------------------------
**TIMESTAMPS**
2:21 Lesions of the scalp
3:41 Lesions of the ear
5:28 Cleft Palate
6:18 Ankyloglossia
7:46 Clavicle Fracture
9:08 Umbilical Hernia
10:15 Abnormalities of the male genitalia
11:55 Anal Atresia
13:20 Sacral Dimple
14:48 Syndactyly of the hands and feet
15:30 Birthmarks
----------------------------------------------------------------------------
Music: www.bensound.com (royalty free with credit)
----------------------------------------------------------------------------
*Disclaimer*: This video is intended for educational purposes only and while
we strive to give the most accurate information, errors may occur. Subsequently,
this video should not be a replacement for medical advice.
Can you please do a full head to toe examination of preterm and term neonates 🙏💫
YES! We need to do this. Is it ok on the doll? That's what's stopped us so far- the privacy aspect of patients and hospitals!!!
@@TalaTalksNICU Yes a doll is perfect, thank you🙏💫
Great then! We'll get to it!!!
@@TalaTalksNICU thank you 😊
Well, I've taken the exams for the 2nd time now and still didn't succeed, i wonder how those who succeeded did it. 😭💔💔
Excellent learning ....never realized that as years go by, all of us howsoever meticulous, may overlook these signs...Thanks
Completely agree. It was helpful going through this talk- a reminder of everything I should be emphasizing. It's easy when parents are talking to you, or there's something slightly off about the exam (a soft murmur etc, a large poop!) to get thrown off. Thanks for watching!!!
Thanks. Very nice video
A talk on complete neonatal examination will be highly appteciated (esp in an exam scenario)
Ho Dr. Hassan!! Yes! We'll definitely do this- it will be a doll unfortunately- but we'll try to emphasize all the board type stuff as well as the practical information!
As always very informative and concise , thank you for the hard work
Thank you as always for your lovely comments :)
Thank you for your effort to explain us clearly! But could you post more often, I can't wait so long time for new video😊😉. Thank you very much!
Thank you Tina! We all wish we could post more often- we have such a long list of requests at this point. But we
all work full time in the NICU and we are all parents- so it’s hard to find the time! Hopefully we will become more efficient :))
@@TalaTalksNICU I imagine how hard it is and I wish you a lot of resistance!
Thanks for the video, I start in Labor and Deliver in a few weeks, so this is super helpful for when I am the "baby" nurse.
Oh yay! Good for you for studying up on the baby side of things too :)
Good luck in your new role- we bet you'll love it :)
love these videos! please do a video of the full physical exam with your tips esp for auscultation. I am an NICU intern and it ca be so hard to tell murmurs with breathing sounds as the backdrop.
Hello! That is a great suggestion! We’ll cover this soon! Thanks so much for watching and for commenting :)
Loving these videos, I know you have talked about CBC in a previous video but wondered if you could talk about U&Es, specifically urea, Creatinine and electrolytes on a blood test ✌🏻
Hi Lauren, thanks for the lovely compliment. And for watching the CBC video!! We have a couple more topics we're finishing up and then we're going to start a whole series on fluids and electrolytes. So yes! Thank you again so much.
Thank you so much. Please keep these videos coming.
thank you for watching! That's definitely our plan :)
Hi Dr. Tala! I hope you can make a video about I/O ratio and ANC and how to calculate. Thanks! Y’all are wonderful! Always going back to the videos to refresh my nicu knowledge.😘
Well Joie- for once I don't have to just add it to the list and promise a topic in the future! We did a video on WBCs and calculations (look for it on the home page). Hope that helps! And thanks so much for your your lovely lovely comments :)
I love your helpful videos! Please continue!! ❤thank you!
So happy you find them helpful! Thank you!!!
I’m making it a missing to watch all your videos! ☺️
Thank you so much Mari! :)
Great video, thank you! Would be nice if you could post one the the full head to toe exam:)
Hello! We are in the process of getting this out- will likely be lots of short videos. Thanks so much for your suggestion and for subscribing :)
Yes please....full examination
Great! We will plan on shooting that soon :)
Thank you so much. Very informative. It is possible to show us pictures of these abnormalities, e.g. sacral dimples, clavicula frac?
Hello Melis! We know- this would have be way more helpful with actual examples. We are having issues with copyright with other peoples' pictures, and patient privacy issues with our own patients. So we'd LOVE it- if you have any pictures (without any identifying data on them) if you could send to us!!! In the meantime we'll ty different avenues! Thanks!!
Yes, the more actual physical images showing the issues you are educating about, especially when a comparison of normal versus concerning, or before and after medical attention, would be extremely beneficial. I would think there must be some avenue to get permission to utilize already published work in the name of the pure educational purpose of this channel??? Hopefully, over time, you will be able to legally coordinate that ability, enabling you to weather up the level of education your already terrific presentations and discussion provide, especially for newer NICU nurses, but really for all NICU nurses of any years of experience!! Please keep passing your incredibly valuable knowledge on in this free format, as my young daughter has found that new NICU nurses have many fewer very veteran NICU nurses still on the job even, and then of course there are a number of veterans in any hospital that are not so willing, or just not blessed with the great ability to teach in a constructive manner! I watch these videos just so I have a bit better understanding of issues she sees often, and am convinced that these should be mandatory viewing for all newer NICU nurses at the very least, if not the vets also! Maybe you could take the extra time to start ordering the videos into chapters playlists, and put the ones most helpful to brand new NICU nurses in Playlist 1, obviously, and move on from there, as that could be very helpful to our new nurses who are lucky and dedicated enough to take advantage of your generous sharing of accumulated learning on this subject! Thank you and your team for your hard work!
Thanks Dr, for reminding us.
I would like to suggest the topics such as inotrops and sedation uses in NICU.
Yes! Shija- these are excellent suggestions. We have both those topics on our list- and we promise we’ll get to them soon :)
Very nice lecture
Thank you - glad you enjoyed it!
Perfect lecture and also beautiful teacher.
ha! Thank you!
Great videos and efforts . Thank you very much . I’m working in ER . Im pretty sure Dr have a lot to advice and tips for us in managing neonates in ER . Will be very grateful if Dr could share some tips for us too .Thanks in advance . God bless.😀
hello! that is an excellent idea for a video! What to do if a neonate delivers in the ER! Thank you so much for watching and for being here :)
hi thanks for the video, can you do a video on UVC insertion? cause mine always end up in the liver. Thanks !
Hi Geraldine! We would LOVE to do this video- we're trying to figure out how best to do it that would be helpful without actually doing it on a baby. (Privacy laws etc.) I promise we'll eventually do one though! Even if it's on a simulation doll.
There's quite a lot of luck with UVCs. If it is continuously ending up in the liver (or the portal venous system), then somehow it's not going through the ductus venous to reach the IVC. This could be because it's closed, or because it's at a funny angle. Sometimes there's nothing we can do. Other things that have helped me in the past are: a) putting in a second (smaller catheter in at the same time, to hopefully force the second one to go through the DV), b) holding the umbilical stump really taut and pulled downwards as you insert- sometimes this positions the vessels better for insertion and c) twisting the catheter as you put it in. Honestly, often none of these techniques work (and if really really desperate, I'll pull the UVC down for a low-lying line). Good luck!!
Addding- Be extremely careful when doing lines- all of these techniques have added risks to them!
Can you give us more information about subtitles?
I am a neonatologist from China, but my English is not very good
Hello! Thanks for watching Dr.! We need to look more into the subtitles- now since we’ve been adding extra information I’m worried they’d get in the way. Maybe we should look into putting a video out with subtitles and one without?
We will investigate further! Thanks so much for being here though!
That is a great point, as you could reach nurses in far more countries if able to have these videos translated into every language, and even subtitled for hearing impaired nurses who have found a way to around their challenge, or just for those who retain new information best when reading it at some point. Hope these lectures can eventually help teach nurses around the world!
Good video, Dr. Tala
Thank you again Sumathy. We are so happy you are still watching :)
Thanks DrTala
Plan Ballard score chat exam
Hello Griffin! Brilliant suggestion! Would love to figure out how to do this on a real baby- or a very supple doll! We'll definitely get to it- it's a very useful assessment tool! Thanks so much!
ما شاء الله. بارك اللة فيكم
Shukran Osama!
Thank you.
Thank you so much for watching Ayanna :)
Love your videos 💞💞💞
Thank you so much! As an aside- I (Tala) LOVE licorice! ha!
Thank you
Thank you so much for watching :)
how do we do such a thorough assessment if the baby is really sensitive to touch and stimulation?
Hello Chris- great question! Obviously you need to do what you can to soothe the baby so that you can examine them- decrease sound, stroke the baby's scalp, keep the baby warm etc- but ultimately- that babies are sensitive to touch is also part of the exam- and so you need to know how the baby reacts when you listen to the heart and feel the belly etc.
Sometimes it will take me a couple of minutes to hear the baby's heart sounds in the newborn nursery because the baby is crying. So I stop, warm/soothe the baby, warm the stethoscope better, and try again!