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Time Critical Transfer

Time Critical Transfer. WMNTS. Gastroschisis Ventilated infant with Tracheo-oesophageal fistula +/- atresia Intestinal perforation Suspected duct-dependent cardiac lesion not responding to prostin Unstable respiratory or cardiovascular failure not responding to appropriate management:

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Time Critical Transfer

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  1. Time Critical Transfer WMNTS

  2. Gastroschisis Ventilated infant with Tracheo-oesophageal fistula +/- atresia Intestinal perforation Suspected duct-dependent cardiac lesion not responding to prostin Unstable respiratory or cardiovascular failure not responding to appropriate management: Despite giving appropriate ventilation via endotracheal tube the infant’s respiratory status remains unstable or severely compromised: persistent unstable pneumothorax despite chest drain requiring FiO2 100% arterial oxygen < 5kPa on 2 consecutive blood gas measurements pH <7.1 and pCO2 >9kPa persistent mean blood pressure below corrected gestational age, measured on arterial line; if measured with cuff only, there should also be acidosis (pH <7.1) Clinical criteria for categorising as Time Critical for the purpose of measuring against this standard

  3. 9 months Data - April to Dec 2012 • Data from WMNTS activity data • 20 Transfers performed • 13 from SWMNN • 7 from SSBCNN • 2 did not meet the 60mins standard • 1 out on transfer, change of shift • 1 during on call (70 mins to respond)

  4. From SWMNN

  5. From SSBCNN

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