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Paeds Casesfetal-neonatal-and-perinatal

Paeds Cases · fetal-neonatal-and-perinatal

Triaging and stabilising a neonatal transport request — OSCE

OSCE on taking a neonatal transport referral, triaging urgency, running the STABLE pretransport stabilisation, and deciding fitness to move, with a cooling-in-transport twist.

osce neonatal transport scenario3 min readVerification in progress

Target exams

MRCPCH ClinicalRACP DCERCPSC Pediatrics
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Study tools

Target exams

MRCPCH ClinicalRACP DCERCPSC Pediatrics
Prompt
A referring hospital calls about a 2-hour-old 34-week infant with worsening respiratory distress; the candidate must take the referral, triage it, run STABLE, decide what must be corrected before movement, and adjust the plan when a second call reveals a cyanotic lesion.

Station brief (8–10 minutes)

A referring hospital calls about a 2-hour-old 34-week infant with worsening respiratory distress, an oxygen requirement, a temperature of 35.7 degrees and a glucose of 2.0 mmol per litre. You are the registrar receiving the call. Take the referral in a structured way, triage the urgency, describe the STABLE stabilisation you would perform, and state what must be corrected before the vehicle moves. Halfway through, the examiner reveals that the infant has also become progressively and then profoundly cyanotic and poorly responsive to oxygen — adjust the plan. State your thresholds and name the source. [2] [5]

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References4ShowHide
  1. [2]Leslie A Tracking national neonatal transport activity and metrics using the UK Neonatal Transport Group dataset 2012-2021: a narrative review. Arch Dis Child Fetal Neonatal Ed, 2024.PMID 38272658
  2. [3]Skiöld B Predictors of unfavorable thermal outcome during newborn emergency retrievals. Air Med J, 2015.PMID 25733114
  3. [5]Gupta N Neurocritical care of high-risk infants during inter-hospital transport. Acta Paediatr, 2019.PMID 31321815
  4. [6]Annicq ASJM Clinical Characteristics and Outcomes for Neonates, Infants, and Children Referred to a Regional Pediatric Intensive Care Transport Service for Extracorporeal Membrane Oxygenation. Pediatr Crit Care Med, 2020.PMID 32886461
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