Author: Lisa D. Nichols, Elementary school teacher
Answered Monday, October 25, 2021
Highest priority is to maintain a patent airway, followed by reevaluating the level of compression necessary. A caput succedaneum is a collection of blood or fluid underneath the surface of the skin caused by trauma to supporting structures, typically at the site of birth after vigorous pushing. It presents as a tense, swollen area on bare skin above an infant’s soft spot (fontanelle). Besides maintaining patency for respiration and preventing growth restriction it is common for clinicians caring for this type injury to receive phone calls from other surgical providers wanting them to stop what they are doing so that they can get in there before you cause hypoxia!
Author: Coral B. Brock, Heat treating equipment operat
Answered Tuesday, October 26, 2021
The priority is to relieve pressure on the brain. The facies changes of a baby with a caput succedaneum are due to increased intracranial pressure brought on by a fluid collection below the skull, most likely from a tear in the fontanelle membrane. A child with these symptoms needs urgent surgical management, usually within 18 hours of receiving head trauma or 36 hours for non-traumatic causes. Ensuring that their airway remains clear and providing supportive care is essential while waiting for medical treatment.