Verse 1 Congenital shadows written at birth Tiny blue lips, fighting for air on earth Mama says the feeding’s slow, baby can’t rest Weight climbing up while the lungs get pressed Crackles in the bases, sweat across the skin Little chest rising hard just to breathe again Orthopnea leaning forward in the light Pink frothy sputum in the middle of the night Pre-Chorus Head of bed elevated twenty-five to forty degrees Flex the hips and bend the knees Monitor the pulse ox, capnography line Twelve-lead tracing while we race against time Chorus Tiny hearts, heavy lungs Fluid rising while the sirens run Rales in the airway, fear in their eyes Trying to keep another child alive Don’t assume every wheeze needs albuterol tonight Some storms are cardiac, not breathing fights Call med control, move carefully Tiny hearts, heavy lungs, breathe with me Verse 2 Tetralogy, transposition, coarctation scars VSDs leaving pressure on the heart Myocarditis hiding underneath Pericarditis stealing every breath they breathe Cardiac monitor, IV in place Transport fast to a pediatric space If pulmonary edema starts to drown the room Every second matters when the pressure blooms Bridge Maybe morphine, maybe fentanyl slow Lasix if the fluid overload shows Nitroglycerin only after control agrees Every treatment changes what this child may need Differentials circling inside my head Asthma, aspiration, embolus instead Tamponade pressure or toxic exposure too Every pediatric CHF can fool you Breakdown Head up Knees bent Keep them calm Watch the vent EtCO₂ Pulse ox glow Listen close Hear the fluid flow Final Chorus Tiny hearts, heavy lungs Every breath a battle fought so young Rales like thunder under fluorescent lights Trying to hold the line through the night Congenital stories written deep inside But we still fight for every fragile life From the rig to the specialty team Tiny hearts, heavy lungs… still dream.
