Austin Pediatrics
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Austin Pediatrics is an open access, peer reviewed, scholarly journal committed to publish articles in all areas of science and practice of Pediatrics. The aspire of the journal is to present a platform for scientists and academicians all over the world to encourage, distribute, and discuss various new issues and developments in different areas of Pediatrics and to promote responsible and balanced debate on controversial issues that influence child health, including non-clinical areas such as ethics, law, surroundings and economics. Austin Pediatrics accepts innovative research articles, review articles, case reports and rapid communication on all the aspects of Pediatrics. Austin Pediatrics is an open access, peer reviewed, scholarly journal committed to publish articles in all areas of science and practice of Pediatrics.
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NICU CONCEPTS, STAFFING,PROTOCOLS, PHYSICAL LAYOUT
The document provides information about the neonatal intensive care unit (NICU). It begins with welcoming parents to the NICU and congratulating them. It then discusses the concept, physical layout, nursing protocols, trends and procedures in the NICU. It provides details about NICU equipment, the roles of the healthcare team members, standards for unit configuration, location, family areas, safety and isolation rooms. The overall document aims to educate parents on what to expect in the NICU and how it is designed and operated to care for newborn infants requiring medical attention.
Know the Difference Between NICU and PICU!
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For More Details:
Map: https://cutt.ly/BwCeflYo
Name: Apollo 24/7 Adult & Paediatric Emergency Services
Address: Singar Nagar, LDA Colony, Lucknow, Uttar Pradesh 226012
Phone: 08429021957
Opening Hours: 24X7
Nicu seminar ppt
The document discusses neonatal intensive care units (NICU), including their definition, objectives, equipment, staffing, and trends. A NICU is an intensive care unit that specializes in caring for ill or premature newborn infants. The objectives are to save lives, prevent damage, and monitor high-risk newborns. Advanced technology, highly trained professionals, and a family-centered care philosophy are trends in NICUs. Equipment includes ventilators, monitors, infusion pumps, and incubators. Staff include neonatologists, nurses, and therapists who work as a team.
Neonatal Intensive Care Unit. NICU. neonate
The document discusses the organization and management of neonatal intensive care units (NICU) in India. It outlines a 3-tier system of neonatal care based on weight and gestational age. Level I care is for healthy newborns, Level II care is for preterm or low birth weight babies, and Level III care is for very preterm and low birth weight babies requiring advanced equipment. It provides details on NICU unit size, location, design, equipment, staffing, and infection control practices to optimize care for sick newborns.
Two Month Old Infant Tetralogy of Fallot Post ECMO- NICU_ Curran
This case report describes a two-month-old infant named Evan Foster who was born prematurely at 32 weeks gestation and diagnosed with Tetralogy of Fallot and a diaphragmatic hernia. After birth, Evan underwent repair of the hernia and was placed on ECMO for seven days. He is currently in the NICU awaiting repair of the Tetralogy of Fallot. The physical therapist performed assessments of Evan and found that he had cramped movements consistent with a preterm infant and was hypotonic and scoring below average for motor skills compared to other infants at his adjusted age. The case report provides context on Evan's condition and the role of physical therapy in optimizing outcomes for infants in the N
Neonatologie
Neonatologia este specialitatea care se ocupă cu studiul nou-născutului sănătos, cu depistarea, diagnosticarea şi tratarea bolilor specifice acestei grupe de vârstă, precum şi cu îngrijirea şi protezarea pentru menţinerea în viaţă a nou-născutului prematur.
organisation of NICU
This document discusses the organization and setup of a neonatal intensive care unit (NICU). It describes the necessary physical facilities including appropriate location, space, floor plan, ventilation, lighting, temperature/humidity control, and noise reduction. Staffing requirements are outlined, including physicians, nurses, and other support roles. Detailed lists are provided of required equipment and disposable supplies for different levels of care. Guidelines are given for indicating patient admission and classifying levels of neonatal care from basic to intensive care.
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NICU CONCEPTS, STAFFING,PROTOCOLS, PHYSICAL LAYOUT
The document provides information about the neonatal intensive care unit (NICU). It begins with welcoming parents to the NICU and congratulating them. It then discusses the concept, physical layout, nursing protocols, trends and procedures in the NICU. It provides details about NICU equipment, the roles of the healthcare team members, standards for unit configuration, location, family areas, safety and isolation rooms. The overall document aims to educate parents on what to expect in the NICU and how it is designed and operated to care for newborn infants requiring medical attention.
Know the Difference Between NICU and PICU!
Confused about NICU vs PICU? NICU stands for Neonatal Intensive Care Unit, caring for newborns needing critical care. PICU, the Pediatric Intensive Care Unit, treats critically ill children from infancy to adolescence. Apollo 24/7 offers NICU & PICU Ambulance Facility Services for safe transport of your child to the most appropriate unit.
For More Details:
Map: https://cutt.ly/BwCeflYo
Name: Apollo 24/7 Adult & Paediatric Emergency Services
Address: Singar Nagar, LDA Colony, Lucknow, Uttar Pradesh 226012
Phone: 08429021957
Opening Hours: 24X7
Nicu seminar ppt
The document discusses neonatal intensive care units (NICU), including their definition, objectives, equipment, staffing, and trends. A NICU is an intensive care unit that specializes in caring for ill or premature newborn infants. The objectives are to save lives, prevent damage, and monitor high-risk newborns. Advanced technology, highly trained professionals, and a family-centered care philosophy are trends in NICUs. Equipment includes ventilators, monitors, infusion pumps, and incubators. Staff include neonatologists, nurses, and therapists who work as a team.
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The document discusses the organization and management of neonatal intensive care units (NICU) in India. It outlines a 3-tier system of neonatal care based on weight and gestational age. Level I care is for healthy newborns, Level II care is for preterm or low birth weight babies, and Level III care is for very preterm and low birth weight babies requiring advanced equipment. It provides details on NICU unit size, location, design, equipment, staffing, and infection control practices to optimize care for sick newborns.
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This case report describes a two-month-old infant named Evan Foster who was born prematurely at 32 weeks gestation and diagnosed with Tetralogy of Fallot and a diaphragmatic hernia. After birth, Evan underwent repair of the hernia and was placed on ECMO for seven days. He is currently in the NICU awaiting repair of the Tetralogy of Fallot. The physical therapist performed assessments of Evan and found that he had cramped movements consistent with a preterm infant and was hypotonic and scoring below average for motor skills compared to other infants at his adjusted age. The case report provides context on Evan's condition and the role of physical therapy in optimizing outcomes for infants in the N
Neonatologie
Neonatologia este specialitatea care se ocupă cu studiul nou-născutului sănătos, cu depistarea, diagnosticarea şi tratarea bolilor specifice acestei grupe de vârstă, precum şi cu îngrijirea şi protezarea pentru menţinerea în viaţă a nou-născutului prematur.
organisation of NICU
This document discusses the organization and setup of a neonatal intensive care unit (NICU). It describes the necessary physical facilities including appropriate location, space, floor plan, ventilation, lighting, temperature/humidity control, and noise reduction. Staffing requirements are outlined, including physicians, nurses, and other support roles. Detailed lists are provided of required equipment and disposable supplies for different levels of care. Guidelines are given for indicating patient admission and classifying levels of neonatal care from basic to intensive care.
Modernize Setup Of NICU And PICU
This document discusses guidelines for modernizing the setup of neonatal intensive care units (NICUs) and pediatric intensive care units (PICUs). It begins by defining NICUs as units that care for critically ill newborns, while PICUs care for critically ill children over 1 month old. The document then outlines the learning objectives, need for these units given mortality rates, categories of care provided, and guidelines for the general preparation, physical setup, and administrative setup of NICU/PICU units. These guidelines address location, space, ventilation, temperature, diagnostic facilities, personnel, and additional recommended facilities. The goal is to provide high-quality intensive care to improve survival rates of neonates and children.
Infection control in newborns
Infection is one of the major causes of neonatal death.
so, here is the presentation on Infection control in newborns or neonates. Hope it helps!
Nicu management
The document discusses neonatal intensive care units (NICUs), providing a history of their development and describing common diseases, challenges, and infections treated in NICUs. It notes that prematurity, respiratory issues, and sepsis are leading problems and that nosocomial infections from organisms like Klebsiella, E. coli, coagulase-negative Staphylococcus, and Candida are a major challenge requiring prevention efforts like judicious antibiotic use, sterile equipment and procedures, and contact precautions.
NICU and PICU Service in Lucknow | Apollo ICU ER
Lucknow's Apollo ICU ER offers NICU & PICU Service in Lucknow, staffed by experts to care for newborns and children facing critical illness or injury. Their advanced facilities provide vital support for your little one's recovery.
For More Details:
Map: https://cutt.ly/BwCeflYo
Name: Apollo 24/7 Adult & Paediatric Emergency Services
Address: Singar Nagar, LDA Colony, Lucknow, Uttar Pradesh 226012
Phone: 08429021957
Services: Emergency care service in Lucknow, Uttar Pradesh
Opening Hours: 24X7
ORGANIZATION OF NICU
organization of NICU
GENERAL OBJECTIVE: At the end of the this topic the students will be able to gain knowledge and understanding regarding the organization of NICU and apply this knowledge in theory and practical.
SPECIFIC OBJECTIVES:
At the end of the topic student will be able to,
Explain the introduction and define the NICU.
Discuss the aims and objective of NICU.
List out the basic facility.
Describe the component of NICU. Introduction:- A Neonatal Intensive Care Unit (NICU)—also called a Special Care Nursery, newborn intensive care unit, intensive care nursery (ICN), and special care baby unit (SCBU)—is an intensive care unit specializing in the care of ill or premature newborn infants.
NEONATAL CARE: The management of complex life threatening diseases, provision of intensive monitoring and institution of life sustaining therapies in an organized manner to critically ill children in a separate pediatric intensive care unit.
Briefly describe the management of nursing care.
Explain the level of NICU.
Discuss the environment of NICU. DEFINITION: Newborn or neonatal intensive care unit, is a intensive care unit designed for premature and ill newborn babies.
AIMS and OBJECTIVES: AIMS OF ORGANIZING OF NICU :
Reducing the neonatal mortality and improving the quality of life among the survivors
OBJECTIVES:
To save the life of the sick new born.
To prevent damage in infants with problems at birth and also reduce morbidity in later life.
To monitor high risk newborns so as to reduce mortality and morbidity in these babies.
BASIC FACILITIES: Adequate space
Availability of running water
Centralized oxygen and suction facilities
Maintenance of thermo- neutral environment
Availability of plenty of linen and disposables
Facilities for availability to treat common neonatal problems
MAIN COMPONENTS TO BE CONSIDER WHILE ORGANIZING A NICU: Physical Facilities
Personnel
Equipment
Laboratory Facilities
Procedure Manual
Transport Of Sick Infants
Cooperation Between The Obstetrician And Neonatologist
PHYSICAL FACILITIES: Location
Space
Floor plan
Lighting
Environmental temperature and humidity
Handling and social contacts
Communication system
Acoustic characteristics
Ventilation
Electrical outlets
LOCATION:Located as close as to labor room and obstetric care unit
Adequate sunlight for illumination
Fair degree of ventilation for fresh air
SPACE: Serve as a referral unit for the infants born outside the hospital.
Each infant should be provided with a minimum area of 100 sq. ft. or 10sq. meter
Space for promotion of breast feeding.
500-600 Gross square feet per bed.
Space includes patient care area, storage area, space for doctors, nurses, other staff, office area, seminar room area, laboratory area and space for families.
6 Feet gap between two incubators for adequate circulation and keeping.
The essential life-saving equipment. FLOOR PLAN: Open encumbered space.
The walls should be made of washable glazed tiles and windows should have...
MedVET module 8 EN
This document discusses the professionals involved in caring for children with medical issues. It describes the roles of various specialists that may be part of a multidisciplinary team, including neonatologists, neurologists, genetic counselors, physiotherapists, orthopedic surgeons, and others. It also discusses techniques like reflecting teams that allow medical professionals to collaboratively discuss patient cases. Effective teamwork between professionals like hospitalists and social workers is emphasized to provide comprehensive care for patients.
Nicu
The document discusses the organization and setup of a Neonatal Intensive Care Unit (NICU). It describes the necessary physical space, facilities, equipment, staffing, and organization of care into three levels - basic, high-level, and intensive care. Key requirements for the NICU include appropriate space per bed, ventilation, lighting, environmental controls, and isolation rooms. Staffing must include neonatologists, nurses, and other medical experts. A full range of life-saving equipment is also needed to provide different levels of neonatal care for critically ill newborns.
Preventive obstretic
This document provides an overview of preventive obstetrics presented by M. Sonia Palmei. It defines preventive obstetrics as preventing health deviations during pregnancy through screenings and examinations. It discusses primary, secondary, and tertiary levels of prevention. It also outlines essential obstetric and newborn care, standards for emergency care, and programs run by the Indian government to support pregnant women, including the First Referral Unit system, Rashtriya Bal Swasthya Karyakram, Janani Shishu Suraksha Karyakram, and Reproductive and Child Health programmes.
A Comprehensive Guide to DM in Neonatology!
Specialized care is crucial to ensure the healthy development and survival of premature and critically ill newborns. One of the most critical components of neonatal care is the involvement of a dedicated Doctor of Medicine (DM) in Neonatology. This comprehensive guide aims to shed light on the role and significance of DM in neonatology, exploring their training, expertise, and impact on the well-being of neonates.
NICU - Apollo 24_7 Emergency Services (1).pptx
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C. new born care
The document provides guidelines on newborn care in Ethiopia. It discusses that the main causes of newborn death in Ethiopia are (1) neonatal infection (2) preterm delivery/low birth weight and (3) birth asphyxia. The majority of newborn deaths occur within the first 24 hours and first week of life. Therefore, essential newborn care and neonatal resuscitation should be provided immediately at birth, with a focus on early detection of problems like asphyxia and infection. Proper equipment and trained healthcare workers are needed to ensure newborns receive necessary care and support at birth.
Introduction of Neonatal Nursing.ppt
This document provides an overview of neonatal nursing. It begins by defining neonatal nursing as nursing care for newborn infants up to 28 days after birth, typically in a Newborn Intensive Care Unit. Neonatal nursing requires high skill and dedication as nurses care for infants with a range of health issues. The document then discusses the global burden of neonatal mortality, with most deaths occurring in low- and middle-income countries. In Ethiopia specifically, about 81,000 babies die each year in the first month of life. The document concludes by outlining several initiatives by the Ethiopian Ministry of Health to strengthen newborn care, such as community-based newborn care and establishing multiple levels of neonatal intensive care units.
Introduction to newborn and normal newborn
Neonatal care is important as neonatal deaths account for over half of under-5 mortality. The document defines various neonatal periods and terms like low birth weight. It provides guidance on care of normal newborns, including clean delivery practices to prevent sepsis, maintaining temperature, delayed cord clamping, cleaning and examination of the baby. It discusses transitional care in the first few hours and routine care like keeping the baby with the mother and early breastfeeding initiation. Physical assessments of the newborn are also described.
NEONATAL HYPOTHERMIA PAEDIATRICS BY DR. PARTHASARATHY
The World Health Organization (WHO) defines
neonatal hypothermia as an axillary temperature
below 36.5°C (97.7°F) among newborns aged
below 28 days.
Normal axillary temperature is
36.5–37.5°C
Severity Of Hypothermia
1)Mild hypothermia/cold stress 36.0–36.4°C
2)Moderate hypothermia 32.0–35.9°C
3)Severe hypothermia <32°C.
It is an environmental temperature at which the newborn has minimal
rates of oxygen consumption and expends the least energy to maintain
its temperature is needed.
Mechanism Of Heat Production in
Newborn
1)Nonshivering thermogenesis—occurs by utilizing brown fat in
newborns. Thermoreceptors on sensing a low temperature result in
elevated sympathetic output and this stimulates the beta-adrenergic
receptors in the brown fat increasing cAMP. This results in
increased metabolism and increases heat production.
2) Increased metabolic activity—the brain, heart, and liver produce
metabolic energy by oxidative metabolism of glucose, fat, and
protein.
3)Peripheral vasoconstriction—reduces blood flow to the skin and
decreases loss of heat.
MECHANISM OF HEAT LOSS IN NEWBORN
Evaporation
Radiation
Due to the
evaporation of
amniotic fluid
from skin surface
Conduction
By coming in
contact with
cold objects
such as cloth
and weighing
tray
Convection
Convection by
air currents
where cold air
replaces warm
air around baby
due
to open windows,
fans, etc.
Radiation to
colder solid
objects in
vicinity-like
walls
Risk Factors
PRETERM,
LBW,IUGR,Asphyxia
Congenital
Abdominal Wall
defects
Low delivery room
temperature, Bathing
the baby after
delivery
Removal of vernix
caseosa, Reduced
contact with mother
Delayed initiation of
breastfeed
Surgical procedures
PREVENTION OF HYPOTHERMIA IN VARIOUS
SETUPS
Memories flashed across my
mind as I came
across the first photo
of myself as a little
baby..
In delivery room and operation theater:
• Follow the 10 steps of “warm chain” recommended by the WHO.
Draught free and warm delivery room temperature of 25–28°C.
Radiant warmer to be prewarmed along with all the linen and clothes/cap before
delivery.
Cap prevents significant heat loss in preterm as well as in term infants. Remove wet towel.
Baby is placed directly on the mother’s abdomen or chest after delivery in both vaginal
and cesarean delivery.
Provide warmth by skin-to-skin contact after drying with a warm and dry linen if baby
is doing well.
Breastfeeding can be started immediately and the baby and the mother are covered
with a warm blanket. Delay bathing. No bathing in the hospital.
Resuscitation, if required, should be done under the radiant warmer and heated
humidified gases to be used if oxygen or positive pressure ventilation is required.
Prewarm medications and intravenous (IV) fluid, if required.
During surgery, abdominal organ coverage reduces the incidence of hypothermia.
Additional measures for very preterm infants (who are more prone to hypothermia due
to greater surface-to-mass ratio and lesser brown fat):
In the NICU:
• Use servocontrolled warmer or
Critical Care in Pregnancy
This document discusses critical care for obstetric patients. It begins with an introduction and epidemiology section noting that while the proportion of obstetric patients in ICUs is low, the most common reasons for admission are postpartum hemorrhage and hypertensive disorders. It then covers obstetric critical care, basic principles for obstetric emergencies, transfer to critical care settings, the role of obstetricians, resuscitative hysterotomy, and supportive care. It provides recommendations including prioritizing maternal stabilization, consulting obstetricians, and not withholding necessary treatments due to fetal concerns. The document aims to guide management of critically ill obstetric patients.
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Evidence based neonatal care 2021
Evidence Based Neonatal Care is the practical approach to provide Neonatal care. Neonatal Mortality is the significant indicator to prevent the under Five Mortality.
EARLY NEONATAL CARE.exclusive newborn care.ppt
This document provides information on newborn care, including immediate care at birth, establishing respiration, maintaining warmth and preventing infections. It discusses assessing the newborn's airway, breathing and circulation. Other topics covered include proper cord cutting and care, eye prophylaxis and skin care. The importance of early and exclusive breastfeeding is emphasized. The document also describes levels of newborn care from basic to intensive care needed for low birth weight or preterm infants.
ICU AND IT'S TYPES
The document provides information about intensive care units (ICUs). It discusses how ICUs differ from other hospital units through close observation and specialized equipment. The document outlines the types of staff that work in ICUs and the reasons why patients are admitted. It also describes different types of ICUs like neonatal ICUs, pediatric ICUs, and cardiac ICUs. The document discusses ICU design, planning, equipment, and staffing needs. It provides details on the costs associated with operating an ICU and challenges with ICU care in India.
Austin Journal of Robotics & Automation
Austin Journal of Robotics & Automation is an international scholarly, peer review, Open Access journal, initiated with an aim to promote the research in Robotics & Automation, which deals with design, construction, operation, and application of robots.
Austin Journal of Robotics & Automation is a comprehensive Open Access peer reviewed scientific journal that covers multidisciplinary fields. We provide limitless access towards accessing our literature hub with colossal range of articles. The journal aims to publish high quality varied article types such as Research, Review, Short Communications, Case Reports, Perspectives (Editorials).
Austin Journal of Robotics & Automation supports the scientific modernization and enrichment in Robotics & Automation research community by magnifying access to peer reviewed scientific literary works. Austin Publishing Group also brings universally peer reviewed member journals under one roof thereby promoting knowledge sharing, collaborative and promotion of multidisciplinary technology.
Austin Journal of Multiple Sclerosis & Neuroimmunology
Austin Journal of Multiple Sclerosis & Neuroimmunology is an open access, peer review Journal publishing original research & review articles on aetiology, epidemiology, and pathogenesis of inflammatory demyelinating diseases of the central nervous system. Austin Journal of Multiple Sclerosis & Neuroimmunology is aimed to provide a strong platform for challenging cases that includes but not excludes the damage of insulating covers of both central nervous system and spine. It is a grounding platform for all neurologists, neuroimmunologists, neurovirologists, researchers, medical doctors, health professionals, scientists, and scholars to publish their research work & update the latest research information.
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so, here is the presentation on Infection control in newborns or neonates. Hope it helps!
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The document discusses neonatal intensive care units (NICUs), providing a history of their development and describing common diseases, challenges, and infections treated in NICUs. It notes that prematurity, respiratory issues, and sepsis are leading problems and that nosocomial infections from organisms like Klebsiella, E. coli, coagulase-negative Staphylococcus, and Candida are a major challenge requiring prevention efforts like judicious antibiotic use, sterile equipment and procedures, and contact precautions.
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Lucknow's Apollo ICU ER offers NICU & PICU Service in Lucknow, staffed by experts to care for newborns and children facing critical illness or injury. Their advanced facilities provide vital support for your little one's recovery.
For More Details:
Map: https://cutt.ly/BwCeflYo
Name: Apollo 24/7 Adult & Paediatric Emergency Services
Address: Singar Nagar, LDA Colony, Lucknow, Uttar Pradesh 226012
Phone: 08429021957
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ORGANIZATION OF NICU
organization of NICU
GENERAL OBJECTIVE: At the end of the this topic the students will be able to gain knowledge and understanding regarding the organization of NICU and apply this knowledge in theory and practical.
SPECIFIC OBJECTIVES:
At the end of the topic student will be able to,
Explain the introduction and define the NICU.
Discuss the aims and objective of NICU.
List out the basic facility.
Describe the component of NICU. Introduction:- A Neonatal Intensive Care Unit (NICU)—also called a Special Care Nursery, newborn intensive care unit, intensive care nursery (ICN), and special care baby unit (SCBU)—is an intensive care unit specializing in the care of ill or premature newborn infants.
NEONATAL CARE: The management of complex life threatening diseases, provision of intensive monitoring and institution of life sustaining therapies in an organized manner to critically ill children in a separate pediatric intensive care unit.
Briefly describe the management of nursing care.
Explain the level of NICU.
Discuss the environment of NICU. DEFINITION: Newborn or neonatal intensive care unit, is a intensive care unit designed for premature and ill newborn babies.
AIMS and OBJECTIVES: AIMS OF ORGANIZING OF NICU :
Reducing the neonatal mortality and improving the quality of life among the survivors
OBJECTIVES:
To save the life of the sick new born.
To prevent damage in infants with problems at birth and also reduce morbidity in later life.
To monitor high risk newborns so as to reduce mortality and morbidity in these babies.
BASIC FACILITIES: Adequate space
Availability of running water
Centralized oxygen and suction facilities
Maintenance of thermo- neutral environment
Availability of plenty of linen and disposables
Facilities for availability to treat common neonatal problems
MAIN COMPONENTS TO BE CONSIDER WHILE ORGANIZING A NICU: Physical Facilities
Personnel
Equipment
Laboratory Facilities
Procedure Manual
Transport Of Sick Infants
Cooperation Between The Obstetrician And Neonatologist
PHYSICAL FACILITIES: Location
Space
Floor plan
Lighting
Environmental temperature and humidity
Handling and social contacts
Communication system
Acoustic characteristics
Ventilation
Electrical outlets
LOCATION:Located as close as to labor room and obstetric care unit
Adequate sunlight for illumination
Fair degree of ventilation for fresh air
SPACE: Serve as a referral unit for the infants born outside the hospital.
Each infant should be provided with a minimum area of 100 sq. ft. or 10sq. meter
Space for promotion of breast feeding.
500-600 Gross square feet per bed.
Space includes patient care area, storage area, space for doctors, nurses, other staff, office area, seminar room area, laboratory area and space for families.
6 Feet gap between two incubators for adequate circulation and keeping.
The essential life-saving equipment. FLOOR PLAN: Open encumbered space.
The walls should be made of washable glazed tiles and windows should have...
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This document discusses the professionals involved in caring for children with medical issues. It describes the roles of various specialists that may be part of a multidisciplinary team, including neonatologists, neurologists, genetic counselors, physiotherapists, orthopedic surgeons, and others. It also discusses techniques like reflecting teams that allow medical professionals to collaboratively discuss patient cases. Effective teamwork between professionals like hospitalists and social workers is emphasized to provide comprehensive care for patients.
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The document discusses the organization and setup of a Neonatal Intensive Care Unit (NICU). It describes the necessary physical space, facilities, equipment, staffing, and organization of care into three levels - basic, high-level, and intensive care. Key requirements for the NICU include appropriate space per bed, ventilation, lighting, environmental controls, and isolation rooms. Staffing must include neonatologists, nurses, and other medical experts. A full range of life-saving equipment is also needed to provide different levels of neonatal care for critically ill newborns.
Preventive obstretic
This document provides an overview of preventive obstetrics presented by M. Sonia Palmei. It defines preventive obstetrics as preventing health deviations during pregnancy through screenings and examinations. It discusses primary, secondary, and tertiary levels of prevention. It also outlines essential obstetric and newborn care, standards for emergency care, and programs run by the Indian government to support pregnant women, including the First Referral Unit system, Rashtriya Bal Swasthya Karyakram, Janani Shishu Suraksha Karyakram, and Reproductive and Child Health programmes.
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Specialized care is crucial to ensure the healthy development and survival of premature and critically ill newborns. One of the most critical components of neonatal care is the involvement of a dedicated Doctor of Medicine (DM) in Neonatology. This comprehensive guide aims to shed light on the role and significance of DM in neonatology, exploring their training, expertise, and impact on the well-being of neonates.
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C. new born care
The document provides guidelines on newborn care in Ethiopia. It discusses that the main causes of newborn death in Ethiopia are (1) neonatal infection (2) preterm delivery/low birth weight and (3) birth asphyxia. The majority of newborn deaths occur within the first 24 hours and first week of life. Therefore, essential newborn care and neonatal resuscitation should be provided immediately at birth, with a focus on early detection of problems like asphyxia and infection. Proper equipment and trained healthcare workers are needed to ensure newborns receive necessary care and support at birth.
Introduction of Neonatal Nursing.ppt
This document provides an overview of neonatal nursing. It begins by defining neonatal nursing as nursing care for newborn infants up to 28 days after birth, typically in a Newborn Intensive Care Unit. Neonatal nursing requires high skill and dedication as nurses care for infants with a range of health issues. The document then discusses the global burden of neonatal mortality, with most deaths occurring in low- and middle-income countries. In Ethiopia specifically, about 81,000 babies die each year in the first month of life. The document concludes by outlining several initiatives by the Ethiopian Ministry of Health to strengthen newborn care, such as community-based newborn care and establishing multiple levels of neonatal intensive care units.
Introduction to newborn and normal newborn
Neonatal care is important as neonatal deaths account for over half of under-5 mortality. The document defines various neonatal periods and terms like low birth weight. It provides guidance on care of normal newborns, including clean delivery practices to prevent sepsis, maintaining temperature, delayed cord clamping, cleaning and examination of the baby. It discusses transitional care in the first few hours and routine care like keeping the baby with the mother and early breastfeeding initiation. Physical assessments of the newborn are also described.
NEONATAL HYPOTHERMIA PAEDIATRICS BY DR. PARTHASARATHY
The World Health Organization (WHO) defines
neonatal hypothermia as an axillary temperature
below 36.5°C (97.7°F) among newborns aged
below 28 days.
Normal axillary temperature is
36.5–37.5°C
Severity Of Hypothermia
1)Mild hypothermia/cold stress 36.0–36.4°C
2)Moderate hypothermia 32.0–35.9°C
3)Severe hypothermia <32°C.
It is an environmental temperature at which the newborn has minimal
rates of oxygen consumption and expends the least energy to maintain
its temperature is needed.
Mechanism Of Heat Production in
Newborn
1)Nonshivering thermogenesis—occurs by utilizing brown fat in
newborns. Thermoreceptors on sensing a low temperature result in
elevated sympathetic output and this stimulates the beta-adrenergic
receptors in the brown fat increasing cAMP. This results in
increased metabolism and increases heat production.
2) Increased metabolic activity—the brain, heart, and liver produce
metabolic energy by oxidative metabolism of glucose, fat, and
protein.
3)Peripheral vasoconstriction—reduces blood flow to the skin and
decreases loss of heat.
MECHANISM OF HEAT LOSS IN NEWBORN
Evaporation
Radiation
Due to the
evaporation of
amniotic fluid
from skin surface
Conduction
By coming in
contact with
cold objects
such as cloth
and weighing
tray
Convection
Convection by
air currents
where cold air
replaces warm
air around baby
due
to open windows,
fans, etc.
Radiation to
colder solid
objects in
vicinity-like
walls
Risk Factors
PRETERM,
LBW,IUGR,Asphyxia
Congenital
Abdominal Wall
defects
Low delivery room
temperature, Bathing
the baby after
delivery
Removal of vernix
caseosa, Reduced
contact with mother
Delayed initiation of
breastfeed
Surgical procedures
PREVENTION OF HYPOTHERMIA IN VARIOUS
SETUPS
Memories flashed across my
mind as I came
across the first photo
of myself as a little
baby..
In delivery room and operation theater:
• Follow the 10 steps of “warm chain” recommended by the WHO.
Draught free and warm delivery room temperature of 25–28°C.
Radiant warmer to be prewarmed along with all the linen and clothes/cap before
delivery.
Cap prevents significant heat loss in preterm as well as in term infants. Remove wet towel.
Baby is placed directly on the mother’s abdomen or chest after delivery in both vaginal
and cesarean delivery.
Provide warmth by skin-to-skin contact after drying with a warm and dry linen if baby
is doing well.
Breastfeeding can be started immediately and the baby and the mother are covered
with a warm blanket. Delay bathing. No bathing in the hospital.
Resuscitation, if required, should be done under the radiant warmer and heated
humidified gases to be used if oxygen or positive pressure ventilation is required.
Prewarm medications and intravenous (IV) fluid, if required.
During surgery, abdominal organ coverage reduces the incidence of hypothermia.
Additional measures for very preterm infants (who are more prone to hypothermia due
to greater surface-to-mass ratio and lesser brown fat):
In the NICU:
• Use servocontrolled warmer or
Critical Care in Pregnancy
This document discusses critical care for obstetric patients. It begins with an introduction and epidemiology section noting that while the proportion of obstetric patients in ICUs is low, the most common reasons for admission are postpartum hemorrhage and hypertensive disorders. It then covers obstetric critical care, basic principles for obstetric emergencies, transfer to critical care settings, the role of obstetricians, resuscitative hysterotomy, and supportive care. It provides recommendations including prioritizing maternal stabilization, consulting obstetricians, and not withholding necessary treatments due to fetal concerns. The document aims to guide management of critically ill obstetric patients.
Fairview Southdale Hospital NICU Information Presentation
The Fairview Southdale Level III Neonatal Intensive Care Unit (NICU) provides care for infants born at 30 weeks gestation or above who require extra monitoring or care. Neonatal nurse practitioners and neonatologists from the University of Minnesota are available 24/7 to care for babies using state-of-the-art equipment. The NICU has 18 individual rooms where families can stay with their babies, as well as rooms for twins and triplets, to provide developmentally supportive family-centered care.
Evidence based neonatal care 2021
Evidence Based Neonatal Care is the practical approach to provide Neonatal care. Neonatal Mortality is the significant indicator to prevent the under Five Mortality.
EARLY NEONATAL CARE.exclusive newborn care.ppt
This document provides information on newborn care, including immediate care at birth, establishing respiration, maintaining warmth and preventing infections. It discusses assessing the newborn's airway, breathing and circulation. Other topics covered include proper cord cutting and care, eye prophylaxis and skin care. The importance of early and exclusive breastfeeding is emphasized. The document also describes levels of newborn care from basic to intensive care needed for low birth weight or preterm infants.
ICU AND IT'S TYPES
The document provides information about intensive care units (ICUs). It discusses how ICUs differ from other hospital units through close observation and specialized equipment. The document outlines the types of staff that work in ICUs and the reasons why patients are admitted. It also describes different types of ICUs like neonatal ICUs, pediatric ICUs, and cardiac ICUs. The document discusses ICU design, planning, equipment, and staffing needs. It provides details on the costs associated with operating an ICU and challenges with ICU care in India.
Similar to Austin Pediatrics (20)
NEONATAL HYPOTHERMIA PAEDIATRICS BY DR. PARTHASARATHY
NEONATAL HYPOTHERMIA PAEDIATRICS BY DR. PARTHASARATHY
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Fairview Southdale Hospital NICU Information Presentation
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对于老客户或者被老客户介绍过来的朋友，我们都会适当给一些优惠。
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Electrocardiogram_20240614_173859_0000.pdf
Basics of Electrocardiogram
CONTENTS
●Conduction System of the Heart
●What is ECG or EKG?
●ECG Leads
●Normal waves of ECG.
●Dimensions of ECG.
● Abnormalities of ECG
CONDUCTION SYSTEM OF THE HEART
ECG:
●ECG is a graphic record of the electrical activity of the heart.
●Electrical activity precedes the mechanical activity of the heart.
●Electrical activity has two phases:
Depolarization- contraction of muscle
Repolarization- relaxation of muscle
ECG Leads:
●6 Chest leads
●6 Limb leads
1. Bipolar Limb Leads:
Lead 1- Between right arm(-ve) and left arm(+ve)
Lead 2- Between right arm(-ve) and left leg(+ve)
Lead 3- Between left arm(-ve)
and left leg(+ve)
2. Augmented unipolar Limb Leads:
AvR- Right arm
AvL- Left arm
AvF- Left leg
3.Chest Leads:
V1 : Over 4th intercostal
space near right sternal margin
V2: Over 4th intercostal space near left sternal margin
V3:In between V2 and V4
V4:Over left 5th intercostal space on the mid
clavicular line
V5:Over left 5th intercostal space on the anterior
axillary line
V6:Over left 5th intercostal space on the mid
axillary line.
Normal ECG:
Waves of ECG:
P Wave
•P Wave is a positive wave and the first wave in ECG.
•It is also called as atrial complex.
Cause: Atrial depolarisation
Duration: 0.1 sec
QRS Complex:
•QRS’ complex is also called the initial ventricular complex.
•‘Q’ wave is a small negative wave. It is continued as the tall ‘R’ wave, which is a positive wave.
‘R’ wave is followed by a small negative wave, the ‘S’ wave.
Cause:Ventricular depolarization and atrial repolarization
Duration: 0.08- 0.10 sec
T Wave:
•‘T’ wave is the final ventricular complex and is a positive wave.
Cause:Ventricular repolarization Duration: 0.2 sec
Intervals and Segments of ECG:
P-R Interval:
•‘P-R’ interval is the interval
between the onset of ‘P’wave and onset of ‘Q’ wave.
•‘P-R’ interval cause atrial depolarization and conduction of impulses through AV node.
Duration:0.18 (0.12 to 0.2) sec
Q-T Interval:
•‘Q-T’ interval is the interval between the onset of ‘Q’
wave and the end of ‘T’ wave.
•‘Q-T’ interval indicates the ventricular depolarization
and ventricular repolarization,
i.e. it signifies the
electrical activity in ventricles.
Duration:0.4-0.42sec
S-T Segment:
•‘S-T’ segment is the time interval between the end of ‘S’ wave and the onset of ‘T’ wave.
Duration: 0.08 sec
R-R Interval:
•‘R-R’ interval is the time interval between two consecutive ‘R’ waves.
•It signifies the duration of one cardiac cycle.
Duration: 0.8 sec
Dimension of ECG:
How to find heart rhytm of the heart?
Regular rhytm:
Irregular rhytm:
More than or less than 4
How to find heart rate using ECG?
If heart Rhytm is Regular :
Heart rate =
300/No.of large b/w 2 QRS complex
= 300/4
=75 beats/mins
How to find heart rate using ECG?
If heart Rhytm is irregular:
Heart rate = 10×No.of QRS complex in 6 sec 5large box = 1sec
5×6=30
10×7 = 70 Beats/min
Abnormalities of ECG:
Cardiac Arrythmias:
1.Tachycardia
Heart Rate more than 100 beats/min
The Ultimate Guide in Setting Up Market Research System in Health-Tech
How to effectively start market research in the health tech industry by defining objectives, crafting problem statements, selecting methods, identifying data collection sources, and setting clear timelines. This guide covers all the preliminary steps needed to lay a strong foundation for your research.
"Market Research it too text-booky, I am in the market for a decade, I am living research book" this is what the founder I met on the event claimed, few of my colleagues rolled their eyes. Its true that one cannot over look the real life experience, but one cannot out beat structured gold mine of market research.
Many 0 to 1 startup founders often overlook market research, but this critical step can make or break a venture, especially in health tech.
But Why do they skip it?
Limited resources—time, money, and manpower—are common culprits.
"In fact, a survey by CB Insights found that 42% of startups fail due to no market need, which is like building a spaceship to Mars only to realise you forgot the fuel."
Sudharsan Srinivasan
Operational Partner Pitchworks VC Studio
Overconfidence in their product’s success leads founders to assume it will naturally find its market, especially in health tech where patient needs, entire system issues and regulatory requirements are as complex as trying to perform brain surgery with a butter knife. Additionally, the pressure to launch quickly and the belief in their own intuition further contribute to this oversight. Yet, thorough market research in health tech could be the key to transforming a startup's vision into a life-saving reality, instead of a medical mishap waiting to happen.
Example of Market Research working
Innovaccer, founded by Abhinav Shashank in 2014, focuses on improving healthcare delivery through data-driven insights and interoperability solutions. Before launching their platform, Innovaccer conducted extensive market research to understand the challenges faced by healthcare organizations and the potential for innovation in healthcare IT.
Identifying Pain Points: Innovaccer surveyed healthcare providers to understand their difficulties with data integration, care coordination, and patient engagement. They found widespread frustration with siloed systems and inefficient workflows.
Competitive Analysis: Analyzed competitors offering similar solutions in healthcare analytics and interoperability. Identified gaps in comprehensive data aggregation, real-time analytics, and actionable insights.
Regulatory Compliance: Ensured their platform complied with HIPAA and other healthcare data privacy regulations. This compliance was crucial to gaining trust from healthcare providers wary of data security issues.
Customer Validation: Conducted pilot programs with several healthcare organizations to validate the platform's effectiveness in improving care outcomes and operational efficiency. Gathered feedback to refine features and user interface.
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Health Tech Market Intelligence Prelim Questions -
The Ultimate Guide to Setting up Market Research in Health Tech part -1
How to effectively start market research in the health tech industry by defining objectives, crafting problem statements, selecting methods, identifying data collection sources, and setting clear timelines. This guide covers all the preliminary steps needed to lay a strong foundation for your research.
This lays foundation of scoping research project what are the
Before embarking on a research project, especially one aimed at scoping and defining parameters like the one described for health tech IT, several crucial considerations should be addressed. Here’s a comprehensive guide covering key aspects to ensure a well-structured and successful research initiative:
1. Define Research Objectives and Scope
Clear Objectives: Define specific goals such as understanding market needs, identifying new opportunities, assessing risks, or refining pricing strategies.
Scope Definition: Clearly outline the boundaries of the research in terms of geographical focus, target demographics (e.g., age, socio-economic status), and industry sectors (e.g., healthcare IT).
3. Review Existing Literature and Resources
Literature Review: Conduct a thorough review of existing research, market reports, and relevant literature to build foundational knowledge.
Gap Analysis: Identify gaps in existing knowledge or areas where further exploration is needed.
4. Select Research Methodology and Tools
Methodological Approach: Choose appropriate research methods such as surveys, interviews, focus groups, or data analytics.
Tools and Resources: Select tools like Google Forms for surveys, analytics platforms (e.g., SimilarWeb, Statista), and expert consultations.
5. Ethical Considerations and Compliance
Ethical Approval: Ensure compliance with ethical guidelines for research involving human subjects.
Data Privacy: Implement measures to protect participant confidentiality and adhere to data protection regulations (e.g., GDPR, HIPAA).
6. Budget and Resource Allocation
Resource Planning: Allocate resources including time, budget, and personnel required for each phase of the research.
Contingency Planning: Anticipate and plan for unforeseen challenges or adjustments to the research plan.
7. Develop Research Instruments
Survey Design: Create well-structured surveys using tools like Google Forms to gather quantitative data.
Interview and Focus Group Guides: Prepare detailed scripts and discussion points for qualitative data collection.
8. Sampling Strategy
Sampling Design: Define the sampling frame, size, and method (e.g., random sampling, stratified sampling) to ensure representation of target demographics.
Participant Recruitment: Plan recruitment strategies to reach and engage the intended participant groups effectively.
9. Data Collection and Analysis Plan
Data Collection: Implement methods for data gathering, ensuring consistency and validity.
Analysis Techniques: Decide on analytical approaches (e.g., statistical
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The special senses are our primary means of experiencing and interpreting the environment, each sense providing unique and vital information that shapes our perceptions and responses. These senses are facilitated by highly specialized organs and complex neural pathways, enabling us to see a vibrant sunset, hear a symphony, savor a delicious meal, detect a fragrant flower, and maintain our equilibrium.
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Through engaging visuals, interactive diagrams, and insightful explanations, we aim to illuminate the complexities of the special senses and their profound impact on our daily lives. Whether you're a student, educator, or simply curious about how we perceive the world, this presentation will provide valuable insights into the remarkable capabilities of the human sensory system.
Join us as we unlock the wonders of the special senses and gain a deeper appreciation for the intricate mechanisms that allow us to experience the richness of our environment.
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- 1. NEONATOLOGY
- 2. NEONATOLOGY? Neonatology is a branch of pediatrics that deals with the medical care of new born babies, particularly the premature and sick infants. It is generally a hospital based subspecialty and linked with Neonatal Intensive Care Units(NIUC’s ) . Neonatology field of medicine is opted to overcome the critical conditions of baby.
- 3. NICU A Neonatal Intensive Care Unit (NICU) is a special area of the hospital that is devoted to the care of critically ill babies. Typically a NICU is completely separated from the nursery for healthy newborns, and may not even be in the same building (the nursery is always located near the rooms for the mothers). The staff for the NICU and the staff for the newborn nursery are completely separate as well.
- 4. SUBSPECIALITIES Neonatal cardiology Neonatal nephrology Neonatal oncology Neonatal asthma Neonatal surgery Neonatal dermatology Neonatal pulmonology Neonatal trauma Neonatal bone disorders
- 5. HEALTHY NEW BORN A healthy infant born at term between 38-42 weeks should have average birth with cries immediately following the birth, establishes independent rhythmic respiration and quickly adopts to the changed environment.
- 6. IMMEDIATE BASIC CARE Maintenance of temperature Identification of new born Vitamin K injection Initiation of breastfeeding Establishment of open airway and circulation
- 7. APGAR SCORE Apgar is a quick test performed on a baby at 1 and 5 minutes after birth. The 1-minute score determines how well the baby tolerated the birthing process. The 5-minute score tells the doctor how well the baby is doing outside the mother's womb.
- 9. DAILY ROUTINE CARE OF NEONATES Keeping warmth Breastfeeding Skin care & baby bath Care of umbilical cord Care of the eyes Clothing of the baby
- 10. COMMON NEONATAL PROBLEMS Irritant dermatitis Erythema toxicum Salmon patch Eye sepsis Squints Preauricular sinus Hormonal withdrawl Groin hypospadias Torticollis Ranula Oral thrush Natal teeth Umbilical sepsis Spinal dysraphism Jaundice Pyrexia Naevus sebaceum
- 12. THANK YOU