Neonatal_Resuscitation_Flashcards
What is the first step in neonatal resuscitation at birth?
Delayed cord clamping if possible
What should be done immediately after birth?
Dry the baby, remove any wet towels and covers, and start the clock or note the time
What assessments should be made within 30 seconds of birth?
Assess tone, breathing, and heart rate
What should be done within 60 seconds if the baby is gasping or not breathing?
Open the airway and give 5 inflation breaths, consider SpO2 and ECG monitoring
What should be checked if there is no increase in heart rate after inflation breaths?
Look for chest movement
What actions should be taken if the chest is not moving?
Check mask, head and jaw position, consider 2-person airway control, consider suction, laryngeal mask/tracheal tube, repeat inflation breaths and look for a response, consider increasing inflation pressure
What should be done if there is no increase in heart rate and the chest is moving?
If heart rate is not detectable or slow (< 60/min), ventilate for 30 seconds
What actions should be taken if the heart rate is still < 60 bpm after 30 seconds of ventilation?
Start chest compressions with ventilation breaths (3:1), increase oxygen to 100%, consider intubation if not already done or laryngeal mask if not possible
What should be done if the heart rate remains < 60 bpm after reassessment every 30 seconds?
Vascular access and drugs (e.g., atropine), consider other factors such as pneumothorax, hypovolaemia, congenital abnormality
