Simulation in neonatal transport medicine

Campbell, Douglas M.; Dadiz, Rita

doi:10.1053/j.semperi.2016.08.003

Cited by 19 publications

(12 citation statements)

References 57 publications

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“…These include airway management, intravenous (IV) and intraosseous access, umbilical venous catheterisation, chest tube or thoracostomy needle placement for pneumothorax and defibrillation (King & Woodard 2002 ). Airway management and intubation are key skills to master for transport team members, because up to 20% of infants require intubation during neonatal transport (Campbell & Dadiz 2016 ).…”

Section: Resultsmentioning

confidence: 99%

“…Pre-hospital, ambulance, hospital units and aircraft environments present unique challenges to experienced healthcare professionals (Reimer & Moore 2010 ). Curricula that address non-technical skills have resulted in improved patient care (Campbell & Dadiz 2016 ).…”

Section: Resultsmentioning

confidence: 99%

“…Neonates and children were subjected to high-risk environments, limited resources and poorly trained transport personnel, resulting in significant morbidity and often death before arrival at the accepting centre. Hospital-based transport teams arose out of necessity, using resources and clinicians from tertiary hospitals' neonatal units to retrieve infants (Campbell & Dadiz 2016). Teamwork is essential for providing care and therefore, the process of improving teamwork has received top priority (Buljac-Samardzic, Doekhie & Van Wijngaarden 2020).…”

Section: Introductionmentioning

confidence: 99%

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The neonatal transfer process through the lens of neonatologists at public hospitals in South Africa

Ashokcoomar¹,

Bhagwan

2022

Health SA Gesondheid

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Background: Neonatal care is provided by various levels of healthcare facilities in South Africa. Intensive care for neonates is only provided at the higher levels, hence the need for transfers from lower-level to higher-level facilities (e.g. primary hospitals to tertiary hospitals) or across levels of facilities, particularly when life-threatening situations arise (e.g. cardiac deterioration, respiratory deterioration and desaturation).Aim: The aim of the study was to explore neonatologists’ views regarding the neonatal transfer process and to describe the preparedness of advanced life support (ALS) paramedics to undertake such transfers.Setting: The setting consisted of neonatologists from three provinces i.e. KwaZulu-Natal, Gauteng and Western cape.Method: A qualitative descriptive design was utilised in this study. Semistructured interviews were conducted on the public health hospitals in three provinces (N = 9; n = 3) with neonatologists (N = 7; n = 7) who were involved in the transfers of critically ill neonates. The process of thematic analysis was used.Results: The themes that emerged in this study were: an awareness of local contextual realities related to neonatal transfers, challenges evident within the context of neonatal transfers, decision-making around the transfer of ill neonates, ALS paramedic preparedness for transfers and good clinical governanceConclusion: The study found that there was a need to be aware of local contextual realities confronting neonatal transfers, a need for greater preparedness for paramedics to undertake these transfers, a need for a sound referral processes and a need for coordinated transfer effort between paramedics, hospital staff and transport team members for the successful transfer of critically ill neonates.Contribution: The findings highlight the challenges confronting the neonatal transfer process in South Africa through the lens of neonatologist at public hospitals. Hence, the study reinforces the preparedness and coordination of the transfer process, along with more efficient communication between paramedics, hospital staff and the transfer team.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The neonatal transfer process through the lens of neonatologists at public hospitals in South Africa

Ashokcoomar¹,

Bhagwan

2022

Health SA Gesondheid

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“…Neonates with severe respiratory failure require transfer from their birth hospital to the tertiary neonatal intensive care (NICU). This is a dangerous time for the neonate and clinicians are constantly seeking to improve the safety of this phase of care . Despite numerous advances in the field of dedicated neonatal equipment (incubator, ventilator, infusion pumps, monitors, and disposable items), medications and better training for the transport teams, the interhospital transfer of sick neonates continues to be a challenge.…”

Section: Introductionmentioning

confidence: 99%

“…This is a dangerous time for the neonate and clinicians are constantly seeking to improve the safety of this phase of care. 4 Despite numerous advances in the field of dedicated neonatal equipment (incubator, ventilator, infusion pumps, monitors, and disposable items), medications and better training for the transport teams, the interhospital transfer of sick neonates continues to be a challenge. On arrival, the aim of a neonatal transporting team is to make a clinical assessment, stabilize and transfer the neonate safely to the tertiary centre.…”

mentioning

confidence: 99%

Lung ultrasound in the diagnosis of neonatal respiratory failure prior to patient transport

Jagła

Grudzień

Starzec

et al. 2019

J of Clinical Ultrasound

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Purpose Lung ultrasound (LUS) at the point‐of‐care is a new method that is increasingly used in neonatology. The aim of this study was to determine the utility of the addition of LUS prior to the interhospital transport of neonates with respiratory failure. Methods LUS was performed on 50 newborns with respiratory failure prior to transport to a tertiary neonatal intensive care unit. We analyzed the performance of LUS for diagnosing the cause of respiratory failure, the concordance between LUS, chest X‐ray (CXR) and final clinical diagnosis, and the impact of LUS on clinical decision making before transport. Results LUS sensitivity for the diagnosis of respiratory distress syndrome was 91.3% (95%CI: 70.5‐98.5%), and specificity was 92.6% (95%CI: 74.2‐98.7%), whereas sensitivity and specificity of CXR were 69.6% (95%CI: 47.0‐85.9%) and 81.5% (95%CI: 61.2‐92.9%), respectively. For the recognition of pneumothorax (PTX) LUS had a sensitivity of 83.3% (95%CI: 36.5‐99.1%) and a specificity of 100% (95%CI: 89.9‐100%). For CXR, sensitivity was 16.7% (95%CI: 0.01‐63.5%) and specificity was 97.7% (95%CI: 86.4‐99.9%). The agreement between LUS and CXR in diagnosing the cause of respiratory failure was substantial (κ of 0.57 [95%CI: 0.40‐0.74]) and the agreement between LUS and the final clinical diagnosis was very good (κ of 0.86 [95%CI: 0.74‐0.98]). In 42% of the patients, a LUS examination prior to transport indicated the need for endotracheal tube repositioning or PTX decompression. Conclusion LUS may be a reliable imaging technique for differentiating the causes of respiratory failure before neonatal transport. Use of LUS may optimize the care of infants during transport.

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Comparison of four neonatal transport scoring methods in the prediction of mortality risk in full-term, out-born infants: a single-center retrospective cohort study

Shen

et al. 2022

Eur J Pediatr

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Simulation in neonatal transport medicine

Cited by 19 publications

References 57 publications

The neonatal transfer process through the lens of neonatologists at public hospitals in South Africa

The neonatal transfer process through the lens of neonatologists at public hospitals in South Africa

Lung ultrasound in the diagnosis of neonatal respiratory failure prior to patient transport

Comparison of four neonatal transport scoring methods in the prediction of mortality risk in full-term, out-born infants: a single-center retrospective cohort study

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