Sudden Unexpected Death in an Infant (SUDI) Flashcards Preview

CLASP - Sudden Death > Sudden Unexpected Death in an Infant (SUDI) > Flashcards

Flashcards in Sudden Unexpected Death in an Infant (SUDI) Deck (22)
1

Most Sudden Unexpected Deaths in Infancy actually do have a cause. TRUE/FALSE?

TRUE

2

SUDI applies to all deaths of infants up to what age?

Up to 1 year

3

What is put on an infants death certificate if no cause of death is identified at post mortem?

SUDI can be put as cause of death

4

What is meant by Sudden Infant Death Syndrome (SIDS)?

Subset of SUDI where no risk factors or pathological cause of death were identified

5

What is the incidence of SUDI and what causes this to vary?

Between 1:1000 to 1:4000
Varies by
- country
- ethnicity
- social deprivation

6

SUDI is the most common cause of infant death at what age?

Between 2-6 months
(not most common in neonatal period)

7

Why does a SUDI at 12 months of age prompt to look harder for cause of death?

SUDI is much rarer at this age and stage

8

What ethnicities are at higher risk of SUDI?

Maori and pacific population

9

What is the triple risk model in relation to SUDI?

Infant has a vulnerability already (e.g. preterm, or maternal smoking in preg.)

An exogenous stress then occurs (prone position, overheating, infection etc)

This occurs at a critical time in their development and therefore causes a larger impact on the infants life - SUDI

10

What risk factors for SUDI cannot be changed or prevented?

- period of acute illness
- preterm birth
- congenital anomaly
- multiple birth
- previous unexplained infant death
- SGA
- Boys more at risk

11

What risk factors for SUDI potentially can be preventable?

- depression in mother at time of stillbirth
- alcohol/substance misuse
- smoking
- poor housing/domestic violence
- co-sleeping with child
- sleeping baby prone or on side
- sleeping on pillow/soft surface

12

The Scottish Cot Death Trust aim to educate parents on the rules of safer sleep. What are these?s

- Back to sleep
- Clear cot (no teddies, pillows etc)
- Tuck in (blankets under arms)
- Feet to the foot of the cot (so baby doesnt move into unsafe position)
- uncover head so baby doesn't get too hot

13

How is SUDI usually investigated?

Multi-agency
POLICE often involved as death is unexpected => may be treated as suspicious

14

Most episodes of SUDI occur at home, in the community. TRUE/FALSE?

TRUE

15

Who is responsible for reporting SUDIs to the POLICE if they occur in the community?

Ambulance service that attend the house OR A and E if the baby is brought there

16

If a post mortem is ordered by the procurator fiscal, it cannot be overturned by the baby's family. TRUE/FALSE?

TRUE

17

How long does a post mortem usually take before the results can fully be given to families?

3-4 months

18

What are the most common causes of SUDI?

- infection (not recognised as life threatening at the time)
- congenital malformations
- Accidents (smothering => asphyxiation)
- NAI (head injuries due to shaking)

19

Viral infection of which organ is most common in infants and may play a role in SUDI?

Myocarditis

20

What bacterial infections are most commonly causes of SUDI?

Pneumonia/ SEPSIS

21

In what percentage of cases is the cause of SUDI visible on macroscopic post-mortem examination?

30%

22

What may you consider educating families on if they are considering further pregnancies?

Infant CPR