Neonatal Resuscitation

Question 1

How is an APGAR score assigned?

Answer 1

• How Ready Is This Child?
• Heart rate (absent, <100, >100)
• Respiratory effort (absent, slow, good/crying)
• Irritability (absent, grimace, cough/cry)
• Tone (limp, some flexion, active motion)
• Colour (blue, blue/pink, pink)

Also Appearance, Pulse, Grimace, Activity, Respiration

Question 2

Describe the neonatal resuscitation algorithm

Answer 2

• Term gestation/breathing/crying/good tone - prevent heat loss, continue to evaluate
  
  • No? - prevent heat loss, ensure open airway, stimulate
  • HR below 100/gasping/apnoea? - CPAP, SpO2 monitoring
    
    • Ensure open airway, consider increasing CPAP if no response in HR
  • HR below 60? - add chest compressions 3 per breath, 100% O2, consider intubation
    
    • IV access, adrenaline, volume expansion

Question 3

What is a normal heart rate for a neonate?

Answer 3

110-160