title: Neonatal distress. Interest of early medical care and medicalized transport.
abstract: From January 1979 to December 1981, amongst the 1200 interventions concerning neonatalogy, SAMU'94 pediatric unit was called out 1070 times for newborns less than 8 days old (i.e. 36% of the pediatric unit entire activity). These were being transferred: either from their birth place to a neonatology department, or to an intensive care unit; either from a neonatalogy department to a medical or surgical intensive care unit (the first transport having not been medicalized then). Have not been included in our study: newborns transferred from one intensive care unit to another, or just after an operation, or for special investigations (catheterization, ultrasound scanning, computerized tomography. . .). Concerning those 1070 newborns, two facts were noticed: Firstly, their initial clinical state was unstable. Secondly, diagnoses were very often made by clinical examination alone: in 3% of the cases, the situation was desperate with decease despite intensive resuscitation; 6.4% belonged to preoperative surgical pathology; 8.6% were born at home; 60% required hospitalization in a medical intensive care unit; and 30% only needed simple attendance in a pediatric department. Thus, before their admission to the adequate hospital 70% of the transfered newborns required and benefited from the pediatric mobile team's adjusted medical care.
mesh_terms: D000552:Ambulances; D004632:Emergency Medical Services; D005602:France; D006801:Humans; D007231:Infant, Newborn; D007232:Infant, Newborn, Diseases / Q000628:therapy*; D007363:Intensive Care Units, Neonatal; D014187:Transportation of Patients