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Poster Display - 178
How to reduce late referral of HALSAN (Hidden And Life threatening Surgical Anomalies in Neonates)
Umar Farooq Ahmad
Nishtar Medical University Multan Pakistan
Introduction: We are drawing attentions of paediatric surgeons to the solution of a very important issue of late referral of neonates having life threatening surgical anomalies. Gross congenital anomalies are immediately picked at birth places and refereed in time to Pediatric surgeons and managed. Some hidden and life threatening surgical anomalies are picked, referred and managed late. This delay adds to morbidity and mortality. Delay in picking is mainly due to less awareness of these anomalies in medical community. Paediatric surgeons are most relevant to take responsibility of bringing awareness.
Objectives: Develop consensus on some modifications in teaching to bring awareness about hidden life threatening surgical anomalies of neonates.
Methodology: Teaching of undergraduates and nurses may be targeted because they are involved in majority deliveries. Following modifications in teaching are proposed.
1. These are four anomalies, neonatal intestinal obstruction, tracheoesophageal fistula, diaphragmatic hernia and biliary atresia. For the purpose of awareness, we suggest grouping these anomalies under one heading and coin an acronym HALSAN; Hidden And Life threatening Surgical Anomalies in Neonates.
2. “Signs of HALSAN” may easily be highlighted in a single page figure. These are four signs (abdominal distension, scaphoid abdomen, cyanosed newborn with frothing and yellow eyes at birth). Two more signs (Polyhydramnios and oligohydramnios) may be added. We may insist to check every new born for “Signs of HALSAN” and flyers may be displaced at birth places.
Expected Outcomes: If we develop consensus on teaching of HALSAN, complaint of late referral, high morbidity and mortality may significantly be reduced. It will highlight the soul of Paediatric surgery.