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Thu, 11 Aug 2011 10:00:52 -0400 |
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About 10 years ago, a pediatrician referred a 3 wo baby who was having wgt gain/feeding issues. This baby stopped breathing and became unresponsive at the breast. Upon arousal - the baby started breathing then again stopped - I provided artificial respirations until the squad arrived. This baby was in heart failure before my very eyes. He ended up having a large septal defect and was in the OR within hours and survived thank God. When I called the peds, she said to send the baby back to her office of which I responded , "No, this baby has gone to the nearest hospital via EMS!".
As we know, feeding issues along with other things can be cardiac related. I have had babies with apnea, peri-oral cyanosis and the like. I have had mother who were quite ill show up as well, some who needed to be hospitalized.
In private practice especially, even with a good phone pre-visit assessment, you never know what may come through that door.
Never assume that everyone who has seen this baby or mother before you has done a completely thorough job - your assessment is equally as important and vital. Many of us have picked up on issues that were missed - quite often I may add.
So, not to mention good assessment and exam skills, but yes, CPR training is necessary for anyone working with babies and adults.
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