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Re: perfect apgars From: Joanne Bulley (islesannie@yahoo.com) Thu Sep 21 21:31:36 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: ND84MD@aol.com: "Re: HIV and PID" Previous message: Joanne Bulley: "Re: Going, going, gone?" In reply to: Eberhard W Lisse: "Re: perfect apgars" Next in thread: Joanne Bulley: "Re: Perimenopausal hot flashes" My *recollection* of Virginia Apgar's development of the APGAR score was due to the fact that the standard of care at that time was to ignore the baby and assume it would be fine. The reason for the APGAR was to MAKE the Doc/RN LOOK at the baby. Thus, it was for deciding on need to treat and or resuscitate. Yes, most of us now pay great attention to the infant and the APGAR is often done in the midst (or after the fact) of the resucitation. We "know" that the kid needs or will need rescutitation, well before we count out the APGAR points. After 2 years, I still remember well the thought, "Gee, at 1 minute I was doing X and this is how the baby looked and so the APGAR was..." Joanne At Thu, 21 Sep 2000, Eberhard W Lisse wrote: > >In message <200009201641.LAA32592@mail.medispecialty.com>, art fougner, md writ >es: > >> we should all remember that the apgar score is simply a guide to >> resuscitation - not a report card. ( which of course brings us back >> to the realm of the lawyers.) > >> just my opinion - i could be wrong. > >Art, > >Personally I donīt know anyone that can do a formal score and >rescusciate accordingly. > >I rescuscitate according to the clinical picture. > >I note the score (when the Ohio infant table beeps) and write it down >somewhere and this is then used for statistics (or not). > >I always understood it to be a predictor of sorts. > >el -- Joanne Bulley, MD, FACOG Keene, NH, USA All decisions are made with insufficient data. Next message: ND84MD@aol.com: "Re: HIV and PID" Previous message: Joanne Bulley: "Re: Going, going, gone?" In reply to: Eberhard W Lisse: "Re: perfect apgars" Next in thread: Joanne Bulley: "Re: Perimenopausal hot flashes"

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