Subgaleal Hemorrhage in Newborns: The Dangerous bleed you can’t miss!!
Subgaleal hemorrhage is one of the most dangerous causes of scalp swelling in newborns, and early recognition can be lifesaving.
In this video, Dr. Tala, a board-certified neonatologist, explains everything you need to know about Subgaleal Hemorrhage in newborns, including how to recognize it, identify high-risk babies, diagnose it, and manage this potentially life-threatening neonatal emergency.
A subgaleal hemorrhage can allow a newborn to lose a massive amount of blood into the scalp's subgaleal space, potentially leading to severe anemia, shock, coagulopathy, seizures, organ failure, and even death if not recognized and treated quickly.
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'Osteopenia of Prematurity' or 'Rickets of Prematurity' or Metabolic Bone Disease all refer to the same process: premature babies developing weak bones because it's so hard to feed a baby enough calcium and phosphorous. Watch this video to learn about the risk factors, the causes, and the general incidence of MBD.
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Dr. Tala is a board-certified neonatologist and has worked in busy level III and IV units for the past 18 years. She has won multiple teaching awards throughout her time as a neonatologist.
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References:
By AMH Sheikh - Own work, CC BY-SA 3.0, https://commons.wikimedia.org/w/index.php?curid=534054
Forceps delivery: https://my.clevelandclinic.org/health/treatments/23260-forceps-delivery
Cephalohematoma is a bleed localized in one area: https://njpediatricneurosurgery.com/news/what-is-a-cephalohematoma/
Levin G, Elchalal U, Yagel S, et al. Risk factors associated with subgaleal hemorrhage in neonates exposed to vacuum extraction. Acta Obstet Gynecol Scand. 2019; 98: 1464–1472. https://doi.org/10.1111/aogs.13678
The clinical characteristics and prognosis of subgaleal hemorrhage in newborn Clin Exp Pediatr. 2018;61(12):387-391. Published online September 16, 2018DOI: https://doi.org/10.3345/kjp.2018.06800
An Atlas of Lumps and Bumps, Part 22 - Scientific Figure on ResearchGate. Available from: https://www.researchgate.net/figure/Subgaleal-hemorrhage-hematoma-are-not-restricted-by-suture-lines-and-may-shift-with_fig5_365049733
Subgaleal hemorrhage: Risk factors and outcomes - Scientific Figure on ResearchGate. Available from: https://www.researchgate.net/figure/Criteria-for-determining-the-severity-of-SGH-1_tbl1_51717592
Measure serial head circumferences (OFC): https://med.stanford.edu/newborns/professional-education/photo-gallery/head.html
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***TIMESTAMPS***
00:00 Introduction
00:46 What Is a Subgaleal Hemorrhage?
02:38 Risk Factors: Vacuum & Forceps Delivery
04:40 How to Diagnose Subgaleal Hemorrhage
08:26 Management: Monitoring High-Risk Newborns
14:07 Prognosis & Long-Term Outcomes
16:35 Key Takeaways:
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*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.
#nicu #neonatalresuscitation #nicunurse #neonatology