title: Primary retrieval of a shocked neonate with duct-dependent circulation to tertiary care by air ambulance.
abstract: In the UK the incidence of congenital heart disease is approximately 7 per 1000 live births. The case of a neonate with shock due to an undiagnosed heart defect who was resuscitated in a rural GP surgery and transferred directly to a paediatric centre with specialist tertiary services is described. This case emphasises the importance of the recognition of the sick infant and demonstrates what can be achieved within the current framework for delivery of care. Helicopter emergency medical teams have training in many advanced practical skills, diagnostic skills and clinical experience, which facilitate transfer of the patient to a place of definitive treatment, reducing morbidity and mortality.
authors: Department of Intensive Care, Birmingham Children's Hospital NHS Foundation Trust, Birmingham, UK. paul.dias@nhs.net
authors: Paul J
authors: PJ
authors: Dias
authors: Adrian
authors: A
authors: Plunkett
mesh_terms: D017732:Air Ambulances; D021721:Balloon Occlusion / Q000379:methods; D016887:Cardiopulmonary Resuscitation / Q000379:methods*; D016638:Critical Illness / Q000628:therapy; D004632:Emergency Medical Services / Q000379:methods*; D005500:Follow-Up Studies; D006330:Heart Defects, Congenital / Q000175:diagnosis / Q000601:surgery; D006345:Heart Septal Defects, Ventricular / Q000175:diagnosis / Q000628:therapy*; D006801:Humans; D007231:Infant, Newborn; D007362:Intensive Care Units; D018570:Risk Assessment; D012770:Shock, Cardiogenic / Q000628:therapy*; D062606:Tertiary Care Centers; D014188:Transposition of Great Vessels / Q000175:diagnosis / Q000601:surgery*; D016896:Treatment Outcome