LAUSR

Hypoxic ischaemic encephalopathy (HIE) is a major cause of neonatal mortality worldwide. It can lead to severe adverse neurodevelopmental outcomes among survivors. Therapeutic hypothermia is neuroprotective and is a standard of care.1 Active cooling via servo control is superior to passive cooling in achieving target temperature during neonatal transport in infants with HIE.2 These transfers are considered time critical transfers in London, in order to achieve a target temperature of 33–34°C within 6 hours of birth. Some local neonatal units within London have access to cooling machines and are therefore able to attain target temperature prior to transport team arrival. It was noted that where infants had already …