Neonatal transport — DipIMC MCQ

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ModeratePaediatric and Obstetric EmergenciesNeonatal transportDipIMC

A newborn has required inflation breaths and remains tachypnoeic with grunting after delivery in a remote clinic. What is the most appropriate transport decision?

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Correct answer: C — Arrange urgent transfer to a neonatal-capable unit

Explanation lettering: B = shown as A · A = shown as B

C is correct: Persistent neonatal respiratory distress after initial stabilisation requires specialist neonatal assessment and transfer. A is less suitable because it does not address the discriminator in the vignette; B is less suitable because it does not address the discriminator in the vignette; D is less suitable because it moves the patient before the decisive threat or destination issue is addressed; E is less suitable because it moves the patient before the decisive threat or destination issue is addressed. The most tempting alternative is therefore suboptimal because it either delays the time-critical pre-hospital intervention or sends the patient to the wrong level of care. The key DipIMC principle is focused cABCDE decision-making with early pre-alert, triage or retrieval escalation when the scene physiology demands it.

Reference: JRCALC Guidelines; Resuscitation Council UK Paediatric and Newborn Guidelines; NICE NG39