Search

This is a joint policy statement from the American Academy of Pediatrics, American College of Emergency Physicians, Emergency Nurses Association, National Association of Emergency Medical Services Physicians, and National Association of Emergency Medical Technicians on pediatric readiness in emergency medical services systems.

Presents the results of clinical investigations of respiratory distress and hyaline membrane disease (HMD). Possibilities for cardiopulmonary derangements of physiology; Characteristics of hyperventilation of either the lungs or, in the case of the fetus, the placenta; Occurrence of venoarterial shunting in HMD.

Classical oscillometry was used to determine indirect systolic/diastolic blood pressure in nine newborn infants. The measurement was facilitated by a relatively simple and inexpensive electronic oscillometer, the construction of which is described. Comparisons between indirect leg and direct intra-aortic blood pressure revealed a systolic difference of 0 to 5 mm Hg and a diastolic difference of 0 to 10 mm Hg, depending on respiratory variations and accuracy of calibration. [ABSTRACT FROM AUTHOR]

Editorial. Reflects on the various techniques used in clinical medicine. Technique that discovered the inappropriateness of feeding premature infants through gastrostomy tubes; Outcome of a high-frequency oscillatory ventilator technique; Description of extracorporeal membrane oxygenation in infants. INSET: MOVE TO DISMISS TENURED PROFESSOR IS FIRST AT KANSAS.

Comments on the article entitled `Care of Infants With Near-Miss Sudden Infant Death Syndrome,' published in the April 1978 issue of the journal `Pediatrics.' Possibility of preidentification of the population at risk through appropriate screening measures; Views on in-hospital monitoring of cardiorespiratory activity; Argument on the recommendation of supervised home monitoring for infants who have had one spell requiring resuscitation.