Browse Topic: Age groups
Neonatal patients in need of specialized care may require transport by rotary-wing air ambulances. These patients are subjected to environmental stressors during transport, including elevated levels of mechanical vibration. Aircraft vibration is transmitted through the transport system and incubator to the patient. The unique vibration profile is dependent on vehicle model and phase of flight. To improve safety for these patients, we aim to evaluate the vibration exposure across this complex system. The purpose of this paper is to present and evaluate the methods used for aircraft data collection and replication of aircraft vibration profiles in a laboratory setting. Our current focus is on neonatal transportation in Ontario, Canada, where Leonardo AW139 helicopters are used for patient transport. AW139 field data were collected and processed to generate excitation profiles for discrete phases of flight. The vehicle data were used to drive a series of laboratory shaker-table experiments, in three axes, to evaluate the response of different configurations of the transport system. We present the methods used to simulate transport conditions, from vehicle data collection to laboratory shaker experimentation, and evaluate the behavior of the test apparatus. The simulated motion has been verified against the aircraft data to identify sources of error in the experimental setup. Some limitations in the shaker and control system present inherent differences in the input and response; however, it was found that the greatest spectral error occurred outside the frequency range of interest (>80 Hz), and that the shaker controller successfully replicates the energy levels recorded in the aircraft. The shaker experiment results, such as the response of the transport system and incubator, will be analysed in future work to identify equipment configurations and/or modifications which can reduce neonatal patient vibration exposure during rotary-wing transportation.
Some infants are born prematurely or with medical conditions that require them to stay in neonatal intensive care units (NICUs). Typically, these infants spend most of their time in an incubator as it provides a safe and controlled environment. At times, these infants will need to be transported via helicopter from one hospital to another, which exposes their already fragile bodies to higher levels of vibration. Helicopters, while advantageous for medical transport, generate substantial vibration due to rotor dynamics. Current models of incubators lack specific design for reducing vibrations. This project proposes a functional vibration damper that can be integrated into existing neonatal incubators, aiming to enhance infant safety during air transport. ANSYS modeling identified low-density polyethylene foam as an effective material for vibration reduction. Flight simulation tests demonstrated the 2" polyethylene mattress reduced vibrations at low amplitudes and frequencies, but challenges arose at higher values. The prototype addresses the critical need for reducing vibrations in neonatal incubators during air transport. While successful in initial tests, further extensive testing is required for potential implementation in the medical industry.
Physicians at Boston Children’s Hospital report that four children with life-threatening cerebrovascular malformations posing surgical challenges have benefited from surgeons having 3D-printed models of their unique brain structures before undergoing high-risk brain procedures.
A team of hearing and communication experts led by the Keck School of Medicine of USC successfully implanted an auditory brainstem implant (ABI) device in four children who previously could not hear.
Newborn jaundice is a common condition in babies. While yellowing of the skin is a primary indicator, that discoloration may be hard to see and, if left untreated, can harm a baby. University of Washington, Seattle, engineers and physicians have developed a smartphone app that can check for jaundice and can deliver results to parents and pediatricians within minutes.
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