Characteristics of neonatal transports in California

Abstract

As many neonates receive transport within the first week after birth, there may be opportunities for quality improvement activities in this area.

Polish Medical Air Rescue Crew Interventions Concerning Neonatal Patients

“…Akula et al (2016) reported on neonatal transport cases in California, USA. They found that the transported infants were more likely to be male, and that nearly one third were diagnosed with congenital malformations [ 9 ]. In our study, care and transport by HEMS and EMS crews in Poland were required more often in cases of male newborns, with the most common diagnoses involving congenital malformations, and especially congenital heart defects.…”

“…According to Akula et al (2016), helicopters were most often used for emergency transport, compared to other modes of transport and mission types [ 9 ]. In turn, our study demonstrated that emergency response was more often provided by Polish Medical Air Rescue teams in cases where the diagnosis involved respiratory failure, sudden cardiac arrest, and other health problems, while rescue transport and patient transfer flights were carried out most often in cases of newborns with congenital malformations.…”

“…Our present findings indicate that Polish Medical Air Rescue teams performed the most emergency medical procedures during medical rescue transport missions, and the time spent on scene and the patient care duration were longest with this type of mission. According to Akula et al (2016), the median patient transport duration was 2.2 h [ 9 ], while in Romanzeira and Sarinho (2015), the mean neonatal transport duration was 58 min [ 10 ]. Notably, the priorities of emergency medical services include rapid response, immediate initiation of life-saving emergency medical procedures on scene, and rapid patient transport to a health care facility capable of providing the medical care required.…”

“…Pediatric patients are of particular interest to researchers in the context of pre-hospital care and transport to the hospital [ 5 , 6 , 7 , 8 ]. One special group of pediatric patients includes newborns [ 9 , 10 , 11 ]. It is worth noting that modern advances in terms of new medical technologies and the longer life expectancy of premature infants are contributing to the growing demand for increasingly specialized care [ 10 , 11 ].…”

Clinical deterioration during neonatal transport in California

“…This network serves to facilitate the transport of critically ill infants to NICUs offering a higher level of care that are better able to meet their needs [12]. These transports are extremely heterogeneous with respect to gestational age at birth, postnatal age at transport and clinical status [16]. The CPeTS collects comprehensive neonatal transport data that are linked to the CPQCC database.…”