NEONATAL RESUSCITATION

NEONATAL RESUSCITATION

Nobody likes to think about it, but this is a call any of us could get. The information provided here is based on current (2021) ALS PCS Ontario guidelines, so make sure you follow your local protocol if it differs.

For the newly born infant, use the following steps:

1. Check to see if the neonate is Term, has Good Tone, and is Crying. If not, Warm, Dry, and Stimulate for 30 seconds. Have your partner attach preductal SPO2 monitoring at this time.

2. At the 30 second mark, assess the heart rate. If the rate is <100BPM, initiate PPV with ROOM AIR for 30 seconds.

3. At the 60 second mark, reassess HR. If HR is <60BPM, initiate 3:1 chest compressions, while providing PPV on 100% O2 for 30 seconds.

4. Continue to reassess Q30 seconds until improvement is noted. If no improvement, transport to ED while following this pattern.

If the Infant is <30 days old but is not newly born, do not warm dry and stimulate, but begin 3:1 chest compressions and PPV immediately. You still have to begin with 30 seconds of ROOM AIR ventilation prior to switching to 100% O2.

If the Infant is >30 days old, follow pediatric cardiac arrest protocol.