Emergency department (ED) physicians are facing challenge every day to recognize ill patients, diagnose life-threatening illness, and initiate treatment. Pediatric Emergency Medicine is a field of practice based on the knowledge and skills required for the prevention, diagnosis and management of a wide variety of acute illnesses and injuries affecting infants, children and adolescents. Deaths of children in pediatric emergency department often occur within the first 24 hr of admission. Many of these deaths could be prevented by early identification, diagnosis and appropriate treatment upon arrival of sick children in pediatric emergency. This can be facilitated by rapid triage for all children in order to determine pediatric emergency. Most challenging task is to managing sick patients in the ED are neonates. Neonates often arrive at the ED with a nonspecific chief complaint or a history of symptoms that may or may not be benign. Hence, Health care providers who are working in ED should update the current information on pediatric emergency. The mnemonic "THE MISFITS" is helpful to quickly recall in diagnosing the common pediatric emergencies. This review article focuses mainly on early identification, diagnosis, and management of the more common neonatal emergencies.
Cite this article:
Dr. Deviga T, Raghu V A. “THE MISFITS”: A quick recall to critical diagnosis of pediatric emergency. Asian J. Nursing Education and Research. 2020; 10(2):240-245. doi: 10.5958/2349-2996.2020.00051.8