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Dear Colleagues, I hope this email finds you in the best of health and good spirits. For those of you who run simulation related activity in neonatology we have a website where resources can be accessed. Simulation scenarios are added every month and can be accessed here https://www.mproveacademy.com/mprove-academy/scenario-bank Moulage to improve your neonatal scenarios can be accessed here https://www.mproveacademy.com/mprove-academy/scenario-bank If you just want to access videos to teach and train your trainees and colleagues they can be accessed through the scenarios or on this website below https://www.youtube.com/channel/UC22LMIG5Bwqhreic_DFHATw?view_as=subscriber There are playlists on Neonatal Procedural Skills, QI initiatives, and Human Factors training in neonatology. Hope this helps. If anyone has any ideas about using technology enhanced learning in neonatology that we can share please dont hesitate to be in touch.    Alok Sharma Consultant Neonatologist Southampton UK  

Neonatal Hemodynamics: From 
Developmental Physiology to 
Comprehensive Monitoring   https://www.frontiersin.org/articles/10.3389/fped.2018.00087/full?

This is our new needle, a sharp 22G needle with stylet, 38 mm long (Vygon product but guess there are several suppliers).  

hellow

In our FMC we have three levels of newborn care, the 35wks+0d ~ 36wks+6d stay for one day (24hrs) in the level II (being with a BW of > or = to 2000 grams). During that time their vitals are being monitored (on a pulse oximeter: saturation and HR), blood sugar, levels bili. Next day if oral feeding and vitals show no issues, they are moved to mom. Moms are discharged 4thday after birth if NVD and 7th day if CS. All babies would receive a check up before discharge and would make reservations for their 1 month followup check. In Canada I was in a level III unit which had a section as a step down, only 35 weekrs were kept in the NICU for 6hrs under observation by the pediatrician (under Obs) in the step down section, if the newborn could control its temp. and showed no issues on feeding and bl. sugar levels, would be moved to mom. If any issue appears, the Pediatrician would consult the NICU for management or NICU admission. 36weekrs kept with mom from birth. I have the same concept as @tarekand @Stefan Johansson "Non-separation and non-medicalization"  of this population, especially that we actually very rarely need to admit these babies to the NICU.