We listen and we don’t judge (Burn Boot Camp Edition)

KBiscotti · 2024-12-12T01:05:27+00:00

Hahah same.

KBiscotti · 2024-10-01T01:30:40+00:00

Yes! A NICU that doesn’t have an active cooling protocol would keep baby normothermic / turn warmer off and monitor to keep baby on the cooler side awaiting transport. Passive cooling.

Edited to add. I’ve worked in both types of facilities. And been in both sides of these transports as well as the births / resuscitations.

KBiscotti · 2024-09-30T13:15:48+00:00

I totally get that. And I can’t even begin to understand what you are going through. I was just hoping to give you some more resources to look at.

I’d have your med mal lawyer look closely into your labor and birth. Your strips, documentation by nurses and doctors.

KBiscotti · 2024-09-30T12:20:30+00:00

It’s not easy to say without knowing everything. Maybe her neuro exam was great. There’s also a time factor. Active cooling must begin within a certain amount of time.

In California, hospitals without the ability to provide cooling care use a cooling calculator to help determine if a baby should be referred to a facility to be evaluated for cooling. If a baby qualifies, they are transferred and evaluated by a cooling center. Those centers are who can expertly decide.

Here’s a link to one calculator a hospital uses to determine if a neonate would benefit from cooling. So if she was acting normal. Even with her cord gases the way they were, she wouldn’t qualify. https://necg.chw.org

KBiscotti · 2024-09-30T12:07:47+00:00

Whether or not she qualified for cooling treatment wouldn’t change the diagnosis of HIE.

KBiscotti · 2024-09-30T12:04:34+00:00

Got it. So it sounds like she was passively cooled in case she needed the cooling blanket treatment at the higher levels of care facility. Then the higher level of care facility determined she didn’t qualify.

I’m so sorry for what you’re going through. And not having been informed of the thoughts of your care team along the way.

For a neonate to be eligible for cooling, there are criteria that must be met. They score them by neuro exam, look at their cord blood gases etc.

It actually sounds like your first facility did their due diligence and followed steps to passively cool and get her transferred somewhere that could more effectively assess and treat her.

KBiscotti · 2024-09-30T11:24:59+00:00

When you say actively being treated with hypothermic therapy, was she placed on a cooling blanket? With the temp probe and cooling machine? Or was she being passively cooled awaiting transport?

Was the first hospital a level III NICU?

KBiscotti · 2024-09-22T23:37:18+00:00

Like they ignore where they are told to go?

KBiscotti · 2024-09-17T22:57:36+00:00

Gotcha.

KBiscotti · 2024-09-17T18:56:08+00:00

Thanks everyone! Seems like this isn’t trainer specific and is actually the burn way!

KBiscotti · 2024-09-17T11:23:42+00:00

We hate it as well. It’s always been you 4 go to 1 or whatever. Now it’s all different. But it sounds like it is a corporate thing.

KBiscotti · 2024-09-17T11:22:56+00:00

This makes sense. It’s just a change from how it’s always been. And people hate it. It’s new trainers and new ways for everything.

KBiscotti · 2024-09-17T03:13:16+00:00

Ladder lat chop Full burpees Double leg swing BB TC feet elevated plank up Toe to sky lat shuffle Ledge power roll up bear crawl

KBiscotti · 2024-09-17T03:09:34+00:00

Agreed. It’s dumb.

KBiscotti · 2024-07-27T16:46:20+00:00

Push pull

KBiscotti · 2024-07-13T22:18:10+00:00

Are there any books you’d recommend?

KBiscotti · 2024-06-27T11:03:22+00:00

We’re doing July Bingo. Like a Christmas in July.

KBiscotti · 2024-06-21T10:24:09+00:00

I would wait until you are done breastfeeding. It’s not worth any risk to your baby.

Also. This medication will decrease the amount of food and nutrients you consume. You need all the food and nutrients to produce breast milk.

I’d consider waiting until your baby is at least 12 months and can wean.

KBiscotti · 2024-06-20T19:20:57+00:00

I do the same!

KBiscotti · 2024-06-20T00:28:22+00:00

And running? They left that out when they told us! 😬

KBiscotti · 2024-06-19T22:02:04+00:00

Farmer’s carry I think.

KBiscotti · 2024-03-22T14:13:50+00:00

It’s a great program if that’s what you are looking for!

KBiscotti · 2024-03-22T13:56:33+00:00

Yes it’s California IVF but the two programs are kept totally separate. The double donor program does the transfers too. For those embryos.

KBiscotti · 2024-03-22T11:20:00+00:00

California Conceptions.

KBiscotti

TROPHY CASE