Copyright © 2017 American Academy of Pediatrics. From: Surgical Emergencies of the Chest and Abdomen in the Newborn American Academy of Pediatrics Textbook of Pediatric Care, 2nd Edition, 2017 Figure Legend: bIf patient is currently at a facility with no pediatric surgery or neonatal or pediatric intensive care unit, consider early transfer to such a facility for further management. If patient is ill-appearing, establish IV access and start IV fluids and antibiotics until transport can be arranged. Date of download: 11/10/2017 Copyright © 2017 American Academy of Pediatrics. All rights reserved.