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“Keeping cool”: improving perinatal mortality (and outcomes of survivors). Jeanie Cheong Neonatologist Royal Women’s Hospital, Melbourne, Australia. Hypothermia in HIE. Only therapeutic intervention that improves outcome in HIE. How do we achieve this?. Education
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“Keeping cool”:improving perinatal mortality (and outcomes of survivors) Jeanie Cheong Neonatologist Royal Women’s Hospital, Melbourne, Australia
Hypothermia in HIE • Only therapeutic intervention that improves outcome in HIE
How do we achieve this? • Education • Prompt recognition of eligibility • Early commencement of cooling • Cooling in transport • Access to equipment • aEEG • Cooling devices (Ice packs!! if desperate) • Ongoing support • Clear support network from tertiary neonatal units
Other aspects to consider • Neonatal resuscitation • Early detection of maternal complications that potentially result in asphyxia-related outcome