Management of a critically ill neonate in the emergency department (ED) is challenging. The evaluation and appropriate management of the ill neonate requires a deep knowledge of the physiologic changes and life-threating pathologic conditions that may present during this time. Most visits to an ED will be because of nonserious diseases, mainly because of insufficient caretaker information. Young neonates (less 10 days old) who present to the ED have a particularly high incidence of serious illness, with 10% to 33% requiring hospital admission. A broad systematic approach is necessary, to provide a comprehensive and specific assessment for the presenting symptom. The early diagnosis and management may be life saving. The new change policies in the early discharge of the neonates from the newborn nurseries ensure the necessity of the emergency physician to know the numerous clinical situations.
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