Newborn Resuscitation Medical Directive Flashcards
Newborn Resus MD
What are the indications for the Newborn Resuscitation MD?
Newborn patient.
Newborn Resus MD
What are the conditions for positive pressure ventilations (PPV)?
Age: <24 hours
HR: <100 bpm
Newborn Resus MD
What are the conditions for CPR?
Age: <24 hours
HR: <60 bpm
Other: After 30 seconds of PPV using room air.
Newborn Resus MD
What are the contraindications to PPV?
Obviously dead as per BLS PCS.
Presumed gestational age less than 20 weeks.
Newborn Resus MD
What are the contraindications to CPR?
Obviously dead as per BLS PCS.
Presumed gestational age less than 20 weeks.
Newborn Resus MD
If there isn’t term gestation or good muscle tone or breathing or crying, what should be done first?
For 30 seconds:
1. Provide warmth;
2. Position/clear airway; and
3. Dry, stimulate, reposition.
Newborn Resus MD
If after drying, warming, and stimulating, breathing and HR is <100 bpm, what should be done?
Provide PPV using room air for 30 seconds.
Newborn Resus MD
If after 30 seconds of PPV on room air HR is <60, what should be done?
For 30 seconds:
1. Administer chest compressions; and
2. Provide PPV using 100% oxygen.
Newborn Resus MD
What hand should pulse oximetry be attached to in newborns?
The right.
Newborn Resus MD
What is the consideration for infants born between 20-25 weeks gestation?
They may be stillborn or die quickly. Initiate resuscitation and transport as soon as feasible.
Newborn Resus MD
What should be done if gestational age can’t be confirmed?
Initiate resuscitation and rapid transport.
Newborn Resus MD
What should be done if the newborn is less than 20 weeks of gestation?
If the newborn is less than 20 weeks gestation, resuscitation is futile. Provide the newborn with warmth and consider patching to BHP for further direction.
