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Scand J Trauma Resus · Oct 2019
Case ReportsPrehospital administration of surfactant to a premature neonate in respiratory distress.
- Charles Haviland Mize, Lhab Dorji, and Ken Zafren.
- Bhutan Emergency Aeromedical Retrieval, Emergency Department, Jigme Dorji Wangchuck National Referral Hospital, Thimphu, Bhutan. Charleshaviland.mize@gmail.com.
- Scand J Trauma Resus. 2019 Oct 29; 27 (1): 95.
AbstractThe population of the Kingdom of Bhutan is scattered in small villages throughout the eastern Himalaya. Infants born prematurely in villages have no access to neonatal intensive care until they are transported to the national referral hospital, a process that once took hours, if not days. After the introduction of a helicopter critical-care retrieval team, we were able to send a trained team to a remote location that successfully administered surfactant and initiated critical care to a premature, extreme low birth weight infant in severe respiratory distress in the first hour of life. Although the infant was in shock and in a near-arrest state at the time the team arrived, he made an excellent recovery after resuscitation by the team.
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