Newborn Resuscitation Medical Directive

Question 1

What are the indications for the newborn resuscitation MD?

Answer 1

Newborn patient.

Question 2

What are the conditions for Positive Pressure Ventilaton
(PPV)?

Answer 2

Age <24 hours
LOA N/A
HR < 100 bpm
RR N/A
SBP N/A
Other N/A

Question 3

What are the conditions for CPR in the newborn resus MD?

Answer 3

Age <24 hours
LOA N/A
HR < 60 bpm
RR N/A
SBP N/A
Other After 30 seconds of
PPV using room air

Question 4

What are the contraindications for Positive Pressure Ventilaton
(PPV)?

Answer 4

• Obviously dead as per BLS PCS
• Presumed gestational age less than 20 weeks

Question 5

What are the contraindications for CPR for the newborn resus MD?

Answer 5

• Obviously dead as per BLS PCS
• Presumed gestational age less than 20 weeks

Question 6

What is the targeted preductal SPO2 at 1 min?

Answer 6

60-65%

Question 7

What is the targeted preductal SPO2 at 2 min?

Answer 7

65-70%

Question 8

What is the targeted preductal SPO2 at 3 min?

Answer 8

70-75%

Question 9

What is the targeted preductal SPO2 at 4 min?

Answer 9

75-80%

Question 10

What is the targeted preductal SPO2 at 5 min?

Answer 10

80-85%

Question 11

What is the targeted preductal SPO2 at 10 min?

Answer 11

85-95%

Question 12

What is the RR and HR required to provide supportive care in the newborn resus MD?

Answer 12

≥100 BPM for both.

Question 13

What is the HR to not start CPR in the newborn resus MD?

Answer 13

≥60

This means we stop CPR at 60 bpm.