The neonatal world is different from the remainder of paediatrics; it is one of the most confronting places a paediatric trainee will work. From your first day you may be asked to intubate the smallest patient you have ever seen. The next may involve the unsuccessful resuscitation of a term infant. Many of us will have never seen a child die before working in the neonatal intensive care unit. The NICU is as terrifying and challenging as it is wonderous. We care for those so small they can fit in your palm and so sick that you contemplate how many more medications can be prescribed and infused. In this presentation from DFTB18 – Science + Story, Jas explores why the majority of us leave the NICU burnt out. The challenges of working and parenting in NICU. The barriers we face to reduce this trauma and stress, as well as how we can make our experience in NICU better for ourselves and colleagues. Jas provides the unique perspective of being both an advanced trainee in Neonatology as well as a mother of twin premature babies.
In this week’s DFTB podcast we talk to Dr Amy Plint, Faculty Medicine Research Chair in PEM at the University of Ottawa about adverse events following attendance in the paediatric emergency department. Dr Plint, who is a former chair of PERC, discusses her paper from BMJ Quality and Safety on the subject and highlights lessons on preventing adverse events for all of us. The paper is available open access here: https://qualitysafety.bmj.com/content/early/2020/04/28/bmjqs-2019-010055.info
Neonatal procedures can be broken down into two broad categories. There are those that are needed to stabilize the child in front of you (such as vascular access or intubation) and there are those with a more diagnostic intent (such as a lumbar puncture or SPA). Newborns are unpredictable so Beth Osmond asks us to consider those things that we do have control over – yourself, the team and your environment and equipment.
Hazel Talbot graduated from one of the countries leading medical schools just one year after Andrew Tagg. Whilst he has fled the NHS for warmer climes she has remained in the UK and works as a neonatologist for Embrace, the Yorkshire and Humber Infant and Children’s Transport service, part of Sheffield Children’s Hospital. She is also an Honorary Consultant at Leeds Children’s Hospital where she is allowed to indulge her desire to look after kids in a slightly less restrictive space than in the back of an ambulance.
This podcast will change your working life!
We speak to Dan Wadsworth, co-founder of the social movement ’15 seconds 30 minutes’, about how small changes can make huge differences and bring joy back to the workplace.
James Tooley is consultant neonatologist in Bristol. We gave him the task of bringing us a little more up-to-date with the neonatal literature.