O&G Cases · Neonatal care — assessment and transition
Failed newborn screen — critical congenital heart disease station
Assessment and escalation station: a failed pulse-oximetry screen for critical congenital heart disease in a well-looking baby. Tests recognition of the failed screen, the duct-dependent lesion, the false-positive frame, and communication with the parents and the cardiology team. Includes assessor key and marking domains.
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Target exams
Station brief
Format. Assessment and escalation station, approximately 12 minutes. You are the registrar on the postnatal ward. The assessor feeds the screening result and the evolving examination.[1]
Candidate instruction. Recognise the failed screen, form a differential, and escalate safely — verbalising your reasoning, your immediate actions, and your communication with the parents and the cardiology team.[1]
References5ShowHide
- [1]Ewer AK, Middleton LJ, Furmston AT, et al. Pulse oximetry screening for congenital heart defects in newborn infants (PulseOx): a test accuracy study Lancet, 2011.PMID 21820732
- [2]American College of Obstetricians and Gynecologists Committee on Obstetric Practice Committee Opinion No. 644: The Apgar Score Obstet Gynecol, 2015.PMID 26393460
- [3]Dawson JA, Kamlin CO, Vento M, et al. Defining the reference range for oxygen saturation for infants after birth Pediatrics, 2010.PMID 20439604
- [4]Malin GL, Morris RK, Khan KS Strength of association between umbilical cord pH and perinatal and long term outcomes: systematic review and meta-analysis BMJ, 2010.PMID 20466789
- [5]American College of Obstetricians and Gynecologists' Task Force on Neonatal Encephalopathy Executive summary: Neonatal encephalopathy and neurologic outcome, second edition Obstet Gynecol, 2014.PMID 24785633