C-NPT case studies
C-NPT · Put your knowledge to work in context.
The Certified Neonatal/Pediatric Transport (C-NPT) credential is designed for clinicians who move critically ill newborns and children between facilities - typically nurses, respiratory therapists, and paramedics working on dedicated transport teams or in referral-center retrieval services. It signals that the holder can manage a decompensating neonate or child in an unstable environment: a moving ambulance, a pressurized aircraft, or a referring hospital's emergency department with limited resources and no backup down the hall. The C-NPT case studies are 5 cases and about 4,089 words.
1Five-Week-Old with RSV Bronchiolitis: Intubate Before Wheels Roll?
A 5-week-old, 3.9 kg former 36-week infant is in a rural ED 95 minutes by ground from your NICU with RSV bronchiolitis. HR 182, RR 76 with marked retractions, SpO2 88% on high-flow nasal cannula at 8 L/min and FiO2 0.60, temp 37.8 C.
878 words, about 4 min2Nine-Day-Old in Shock: Ductal-Dependent Lesion and No Central Line
A 9-day-old, 3.4 kg term infant is referred from a level I nursery for shock. Discharged at 48 hours, he returned this morning mottled and lethargic.
827 words, about 4 min3Two Hours Old After an Abruption: Cooling, Weather, and a Closing Window
You are called at 02:40 for a 3.6 kg term newborn now 2 hours 20 minutes old at a community hospital, following an abruption and emergency cesarean. Apgar 1/3/5; he was intubated at 8 minutes after prolonged positive-pressure ventilation.
846 words, about 4 min4Two Vasoactives, Two Pumps, and an Unlabeled Syringe
Your team is at a level II nursery to transport a 2.6 kg, 12-day-old infant in septic shock. He has dopamine at 10 mcg/kg/min running at 1 mL/hr (1600 mcg/mL) through a 24-gauge IV in the right hand, plus a scalp IV.
752 words, about 4 min5A Valid DNR, Two Parents, and a Plugged Tracheostomy
A 4-month-old, 4.3 kg former 24-week infant with severe BPD and a tracheostomy is in a community ED with two days of thick secretions. HR 196, SpO2 78% on the home ventilator, PCO2 78, pH 7.18.
786 words, about 4 min