Module Four Unit Four

Question 1

Define neonate

Answer 1

Newborn infants < 28 days
In retrieval, more about size of patient and where they are being retrieved to

Question 2

What is the usual team composition of a paediatric retrieval service?

Answer 2

Paediatric critical care background often with ICU experience, +/- paeds anaesthesia or ED

Question 3

Is it better to wait until the baby is born or transfer the mother in labour? (4)

Answer 3

The first few moments of life are critical - better to be born in high level care and transferred in utero.
High risks to birthing in the air.
Could activate neonate transfer team so they are at the birth in low care facility.
Telehealth.

Question 4

List some pathologies that affect babies and necessitate transfer to higher-level units. (7)

Answer 4

Extreme prematurity
Failure to transition from foetal circulation (persistent pulmonary HTN)
Complex cardiac malformations
RDS/meconium aspiration
Gut problems
Neuro
Metabolic conditions

Question 5

List the three location types that neonatal retrieval services usually operate from.

Answer 5

Neonatally-dedicated, independent stand-alone service with no inpatient commitments
Independent service in conjunction with paeds service, no inpt commitments
Integrated service operating from inpatient unit

Question 6

Describe some key considerations in neonatal retrieval. (4)

Answer 6

Thermal control is paramount.
Special incubators for temp and noise.
Specialised drugs.
Good to have parent escort.

Question 7

Describe some key considerations in neonatal retrieval.

Answer 7

Thermal control is paramount.
Special incubators for temp and noise.
Specialised drugs.
Good to have parent escort.