Just wondering if anyone has specific policies regarding response to the SCENE of an out-of-hospital birth. (NOT pre-term labor. Birth has already occurred and is complicated ie: pre-term, meconium aspiration, etc...) Specifically:
1) Do you send your regular team, NICU transport team, or add a specialty practitioner to your team? (remember: this is an emergent request to a scene)
2) What equipment if any is added onboard (Specifically- transport isolette?):
3) Would your program accept this type of scene request or does a policy prohibit it?
4) If your team is prepared to accept a request of this type, what are the core and continuing educational requirements for the team in the care of complicated newborns? Are hands-on clinical rotations provided and what are team members allowed to do during these rotations at the sponsoring facility?
5) How often have you received a request of this type?
Thank you in advance for sharing this information. If your program does not currently consider this possibility, hopefully you'll benefit from this discussion. We received a request to fly a 23 week gestation fetus born on the floor of a bathroom in a rural home.
Fly Safely,
Jon Gryniuk FP-C, CCEMT-P, NREMT-P, RRT
Albany, NY
