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What the neonatologist does not want to find in the delivery room

from Section 1 - Organization of neonatal transport

Published online by Cambridge University Press:  05 March 2012

By
Georg Hansmann
Edited by
Georg Hansmann
Georg Hansmann
Affiliation:
Children's Hospital Boston
Georg Hansmann
Affiliation:
Children's Hospital Boston, Harvard Medical School
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Summary

  • A resuscitation unit that does not work

  • An obstetrician who continues discussing the “1-min Apgar score” at 3 a.m. despite efficient and successful delivery and newborn care

  • A nursery lacking a device for measuring blood glucose (Dextrostix)

  • A hypothermic and hypoxic infant without oxygen supplementation but large amounts of fluid in the oropharynx (caution: 4 “S”, p. 14).

  • A pale neonate (±grayish skin color) that is tachypneic, has nasal flaring or subcostal retractions for hours is probably dehydrated, and supplemented with oxygen but without adequate monitoring (pulse oximetry for SpO2 and heart rate monitoring, blood glucose and blood gas sampling, blood pressure)

! Blood gas, blood glucose, body temperature, and transportation time document severity of illness and quality of care provided by the NETS and the obstetric team.

Type
Chapter
Information
Neonatal Emergencies , pp. 15
Publisher: Cambridge University Press
Print publication year: 2009

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