Noise levels above 45 dB in a neonatal intensive care unit (NICU) and 60 dB during neonatal transport are recognised hazards, but protective equipment is not standard. We measured noise levels in both settings, with and without noise protection.
Prolonged hemiparetic migraine aura can cause diagnostic confusion and be mistaken for ischaemic stroke occurring during the course of a migraine—‘migrainous infarction’. We report a case of prolonged hemiparesis occurring during the course of a migraine attack. Though initially confused with migrainous infarction, we suggest with sequential magnetic resonance imaging, magnetic resonance angiography, diffusion, perfusion images and magnetic resonance spectroscopy that the hemiplegia was not of vascular origin and that the patient had sporadic hemiplegic migraine. We hypothesize that the mechanisms of sporadic hemiplegic migraine probably lie at a cellular level, similiar to familial hemiplegic migraine.
As is internationally recognised, the success of the centralisation of resources and expertise In the area of neonatology
Is dependent on a reliable and effective transport service, The NNTP Is achieving this by the provision of:
A comprehensive transport service for acutely sick infants who require transfer for specialist care
Timely returns which help keep tertiary beds occupied by appropriate patients
Transport clinical staff who are skilled In the anticipation and delivery of emergency/intensive neonatal medicine
Dedicated neonatal transport ambulances and ambulance personnel. Specialised equipment for Ground and Air Transport
A centralised, Integrated transport programme that facilitates the collection of transport data for systematic review
and audit
An outreach education programme that supports the NNTP's clinical objectives.
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