A large number of neonates need emergent transport to a tertiary care center, because of surgical, medical, or increasingly emerging postpartum issues. These are known as "outborn" neonates because they are born somewhere indistinct to the knack to which they have been transferred. Medical transport of critically ill and high-risk newborns needs specialized equipment and skilled personnel.
Experts say that reduced inter-facility transfer time has to lead to improved results for the smallest and critically ill newborns. Because of the results of an outborn neonate with surgical problems or significant medical (including acute prematurity) debris worse than for an unborn child, the primary emphasis always stays on subsequent in-utero transfer whenever possible and prenatal diagnosis. In spite of progressive training and technology, mothers mostly make the perfect transport incubators.
After formation of institutes to take care for ill neonates, all the heed shifted to caring for children who were either born in inadequately equipped centers or homes. Transport of outborn neonates to specialized centers initially used smart adaptations of incubators which were before carried in an automobile.
It is not easy to transfer a neonate newborn child but still with the help of advanced technology and air ambulance services in recent years, it has become more convenient and secure.
Starting resuscitation of the infants includes respiratory support, oxygenation, and CPR if needed as per the current situation. Before and during transfer, treatment aims are the prevention of hypothermia, hypoxia, and hypoglycemia and all this is possible because of the excellent treatment is given by the air ambulance staff.
The decision to transport, the place and clinical treatment choices are made in discussion with either the NETSWA pediatrician or the regional pediatrician, or maybe both. The duty of RFDS doctor empowering the flight will require to know the clinical specifics when the first call is made to appeal transport. Plus, clinical technicalities in regards to the mother should also be provided to the RFDS doctor if the idea is for the mother to come along with the baby.
Whether the mother will travel on the flight with the ill child or not depends on an array of factors which includes whether she is self-caring or requires nursing care during transport and the aircraft payload for the flight. If the mother needs nursing care while in the flight, like a blood transfusion or an epidural top-up, it may be advisable for her to be transferred at a later time because of the workload with the infant in flight. If these factors do not affect, then she can travel with the child, but it can increase the air ambulance cost as there would be two members traveling.
The transfer of ill newborns is a critical task which needs particular equipment and competencies. The transportation should be adequately planned so that the danger of complications en-route is lessened, since it is tough and involves huge risk to intervene while transport than performing these in a local hospital.
There are a few factors which should be taken care of before the transport such as -
Stabilization of infant-
The most important thing to check is the condition of the newborn infant. The child should be stable as much as possible and should be kept under constant observation as it is essential that the child should be in a condition to travel.
Many diseases in infants come through respiratory issues, even in situations when the underlying disease is not respiratory. Neonatal respiratory reserves are competitively small, and without proper control, respiratory problems may become severe. It is of crucial importance to ensure proper oxygenation and ventilation before transport.
It is vital for an infant to have a normal temperature before and during the transport. Hypothermia can increase respiratory problems and the risk of other complications as well. Overheating, specifically of anaphylactic newborns might increase the danger of cerebral disease.
Communication with local facilities-
Before the transport, it is essential that a regional healthcare center should be contacted to make sure the stabilization of the newborn. One should always get a list of the needed documents to be provided to the transport team.
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