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Dissertation on prehospital treatment and transport in newborn
- 1. DISSERTATION
- 5. STUDY JUSTIFICATION The out born babies generally have a poor outcome when compared to inborn babies. I had considered to conduct a study on outborn babies, to identify at risk babies by using a scoring system Since the mortality of the neonates also depends on physiological status of the neonate before reaching the referral centre, trained neonatal staff will do a pre transport TOPS . The pre transport TOPS will be compared with the post transport TOPS which will be done after reaching the referral centre by the NICU residents , if there is a positive difference, it indeed helps us to know the role played by the neonatal transport team in stabilising the physiological status of the newborn.
- 10. Month FEB MARCH MAY No.ofbabies 40 46 50 MCH 23 21 29 FCH 17 25 21 GA Term 33 42 41 PreTerm 7 4 9 Weight >2.5 Kg 38 44 49 <1.5 Kg 2 2 1 <1Kg 1 Nil Nil Noofreferrals referrals Noofreferrals referralsterm termlessthan than7days 24 16 28 18 35 20 Indication for referral Birthasphyxia asphyxia 2 Nil 3 Respiratory distress 9 14 11
- 11. FEB MARCH MAY Duration oftransport <30mins/>30mins 11/ 5 15/3 17/3 Distance travelled <10km 14 17 18 >10km 2 1 2 Prior stabilisation IVaccess 4 6 6 Inotropes Nil Nil Nil Respiratory ysupport 02 hood 5 8 10 CPAP Nil Nil Nil Intubation Nil Nil Nil
- 12. Posttransport TRIPS SCORE FEB MARCH MAY 0-8 15 16 19 9-16 1 2 1 17-34 Nil Nil Nil
- 13. Duration of hospital stay- Less than 7days- 30 More than 7days -14 Death - nil