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Neonatal emergency transport teams and general emergency departments: Who will intubate the neonate?

Katie M Cunningham1,2, Jennifer M Walsh2,3, Thomas F Beattie1

  • 1Department of Child Life and Health, University of Edinburgh, Edinburgh, UK.

Emergency Medicine Australasia : EMA
|January 12, 2022
PubMed

Insights

Referring emergency department (ED) physicians frequently perform critical procedures on critically ill infants requiring inter-hospital transfer. This challenges the assumption that such interventions are solely managed by specialized neonatal emergency transport services.

Area of Science:

  • Pediatric Emergency Medicine
  • Neonatal Critical Care
  • Healthcare Systems Research

Background:

  • Critically ill infants often require inter-hospital transfer.
  • General emergency department (ED) physician experience with critical infant procedures may be limited.
  • Procedures are sometimes deferred pending arrival of specialized transport teams.

Purpose of the Study:

  • To analyze the types and frequency of critical procedures performed by referring ED physicians on infants transferred between hospitals.
  • To compare the procedural interventions by local ED physicians versus neonatal emergency transport services.
  • To assess the role of general EDs in managing critically ill infants requiring transfer.

Main Methods:

  • Retrospective cohort study design.
  • Analysis of critical procedures performed on infants transferred over a 12-month period.
  • Comparison between procedures done by referring ED physicians and neonatal emergency transport services.

Main Results:

  • 150 infants were included in the study.
  • A total of 40 critical procedures were performed.
  • Local ED physicians performed 65% (17 out of 26) of intubations.

Conclusions:

  • Referring ED physicians undertake the majority of critical procedures for infants needing transfer.
  • This highlights the significant role of general EDs in stabilizing critically ill infants.
  • Findings may inform training and resource allocation for neonatal emergency care.
Abstract

Keywords:
critical procedureemergency departmentendotracheal intubationneonatal transport

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