G264 Hypothermia prevalence and risk factors in admitted neonates and impact on outcomes at a tertiary neonatal unit, rwanda: a cross-sectional study

Abstract

Methods Staff from simulation and paediatric metabolic medicine collaborated to devise multi-professional metabolic emergency scenarios. Cases highlighted specific aspects of underlying inborn errors of metabolism and general clinical principles and protocols. Simulation sessions involved medical and nursing staff from all levels. Participant feedback focused upon session utility and applicability to the clinical environment. Analysis of simulation data was retrospectively performed of all metabolic emergency simulation data. Results Between January 2017 and September 2018, there were 7 metabolic simulation sessions involving 56 members of staff. Scenarios involved inherited metabolic conditions with complications assessing generic skills including: an allergic reaction to enzyme replacement therapy in a child with Hunter's syndrome; sepsis in a child with methylmalonic acidaemia and seizures in a child with a decompensated urea cycle defect. Participant feedback was positive with high session utility reported and applicability to clinical practice. Conclusions Participants in simulated metabolic emergencies report this training as a valuable opportunity to practise team working and clinical skills. Scenarios incorporating common emergencies in rare conditions can meet generic and sub-speciality specific training needs. Further work is planned to devise syllabus based metabolic scenarios and contribute to training in this neglected field.

Evaluation of a continuous neonatal temperature monitor for low-resource settings: a device feasibility pilot study

“…Neonatal hypothermia-broken down into three levels by the WHO (mild: 36°C-36.5°C; moderate: 32°C-35.9°C; and severe: <32°C 1 )is a significant global challenge, especially for premature and sick babies. 2 Hypothermia is common in countries with high neonatal mortality rates, and managing hypothermia has been recognised as crucial to improve survival. 3 The reported incidence of neonatal hypothermia in low-income and middle-income countries ranges from 25% to 85%.…”