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[Transport of newborn infants. Apropos of 114 cases]
Insights
This study analyzed the transport of 114 newborns by the Paris SAMU, highlighting significant delays and interventions. Recommendations include specialized high-risk delivery centers and improved emergency medical service (SMUR) protocols for neonates.
Area of Science:
- Neonatal care
- Emergency medicine
- Pediatric transport
Context:
- Examines the transport of 114 newborns within the first 24 hours of life.
- Data collected from Paris SAMU (Professor M. CARA'S Unit) in 1972-1973.
- Assesses delays in medical team arrival and patient transfer to a resuscitation center.
Purpose:
- To evaluate the effectiveness and challenges of neonatal transport.
- To identify areas for improvement in emergency medical services for newborns.
- To inform best practices for managing high-risk deliveries and neonatal emergencies.
Summary:
- Average delay for medical team arrival was one hour; patient reached resuscitation center 2.25 hours post-call.
- Interventions during transport included umbilical catheterization (15 cases) and intubation with artificial ventilation (27 cases).
- On arrival, mean values showed temperature 25.2°C, pH 7.28, pO2 112, and blood sugar 1.53 g/L.
Impact:
- Recommends reserving high-risk deliveries for specialized centers.
- Advocates for early SAMU contact during labor in poorly equipped centers.
- Stresses the need for rigorous, controlled actions by transporting physicians and well-equipped, trained SMUR units.
Abstract:
The transport of 114 newborn less than 24 hours old carried out in 1972 and 1973 by the Paris SAMU (Professor M. CARA'S Unit) is studied. (he delay of arrival of the medical team is on the average one hour, the child arrives in the Resuscitation center approximately two and a quarter hours after the call. In 15 cases an umbilical catheter was put in place; in 27 cases the child was intubated, artificial ventilation was carried out during transport. On arrival, from the mean values, the temperature was 25.2 degrees, the pH 7.28, the pO2 112, the blood sugar 1.53 g.Three practical conclusions must be drawn: reserve high risk deliveries for specialized centers, when the degree of emergency compells delivery in a badly equipped center, contact the SAMU from the beginning of labour, render the actions carried out by the transporting doctor even more rigorous and controled, which implies an organized SMUR which is well equipped and trained.