Neonatal Transport Medicine
Neonatal Transport Medicine ensures that critically ill newborns receive life-saving care while being transferred safely between facilities. This session explores stabilisation principles, transport-team roles, equipment advances, and communication strategies that support seamless care from referring hospitals to specialised centres.
Care teams increasingly attend an Neonatology Conference to strengthen skills in pre-transport stabilisation, ventilation strategies, thermoregulation, vascular access, and risk assessment. This session reviews ground and air transport models, neonatal transport incubators, mobile ventilation systems, and communication systems that support real-time decision-making.
A major theme is developing structured pediatric neonatal transport pathways that ensure continuity of care, clear documentation, and standardised handovers. Case examples highlight the challenges of transporting infants with respiratory distress, congenital anomalies, sepsis, cardiac instability, or postoperative needs. Participants will also review safety considerations, including equipment checklists, infection-control practices, and team communication protocols.
Equity considerations include delays faced by rural families, limited transport capacity, and gaps in staff training. Strategies for regionalisation, simulation training, and tele-support are explored to improve outcomes.
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Assessment and stabilisation before transport
- Optimising ventilation, perfusion, and temperature prior to transfer.
- Identifying infants requiring advanced respiratory or cardiovascular support.
Transport equipment and monitoring
- Using specialised incubators, mobile ventilators, and continuous monitoring systems.
- Ensuring oxygen supply, infusion pumps, and safety devices are prepared.
Team coordination and communication
- Conducting structured handovers and pre-departure briefings.
- Maintaining real-time communication with receiving centres.
Transport safety and risk mitigation
- Managing complications during movement and managing equipment failure.
- Applying infection prevention and safe handling guidelines.
Practice Insights and Transport Pathways
Designing transport algorithms
Standardising decision-making steps for safe, timely transfers.
Building transport-capable teams
Training nurses, paramedics, and respiratory therapists in neonatal-specific needs.
Using simulation to improve readiness
Practising emergency scenarios and equipment troubleshooting.
Addressing regional disparities
Strengthening referrals, tele-support, and mobile units in remote regions.
Evaluating transport outcomes
Tracking response times, stability scores, and post-transport outcomes.
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