Muhamad Na'im B Ab Razak (jacknaim) is a fresh graduate Muslim Doctor from Universiti Sains Malaysia and waiting for the enrollment into the housemanship program. Ambitious in pursuing master program in emergency and traumatology medicine and loves to spent his free time joining humanitarian missions, writing and speaks as an amateur public speaker in motivation and comparative religion. [HOME]

OSCE pro III series 6


Answer

1)Closed neonatal transport incubator


2)Precaution before using it

-Ensure that the battery (external power supply) is fully charged.
-Connection to the oxygen supply is intact and oxygen tank contains oxygen adequate for the transports

-The warmer is well functioning.
-The incubator must be closed to avoid heat loss (except if ambu-bag is required then one door is open)

-Pre transport stabilization of the patient
-Labeled all the connection attach to the baby (IV fluids, Intra arterial line)
-Sick patient may require monitoring (BP, ECG, pulse oxymetry)
-Adequate supply of fluid & drug for resuscitation should be available.
-All documents regarding the patient must be available during transportation.
-Baby should be escorted by experienced staff.


3)Two complication during ambu bagging
-Big leak and ventilation volume loss
-Hemothorax and pneumothorax
-stomach intubation (abdominal distension and worsening respiratory distress)
-Worsening of patient condition that has diaphragmatic hernia. (Respiratory distress worsens during ambu bagging.)