Neonatal Resuscitation
Assist mother with delivery
as needed
Obstetrical Emergency
Continue Assessment
Go to Obstetrical Emergency
Term gestation?
Breathing or crying?
Good tone?
Yes
Provide warmth
Assure open airway
Dry baby
General Pediatric Assessment
Continue Assessment
Go to General Pediatric Assessment
No
Warm, open airway
Dry, stimulate baby
Dry baby
No
HR <100, gasping
or apnea?
Caveats:
- Deep airway suctioning is
no longer recommended
- Traditional CPR 3:1 ratio
is standard for newborns
- Most newbors requiring
resuscitation will respond
to BVM, compressions
and Epi; for those that
don't, consider
hypovolimia,
pneumothorax, and/or
hypoglycemia (BG <40)
No
Labored Breathing or
persistent cyanosis?
Yes
Ventilation Management
w/ BVM
Continue Assessment
Go to Ventilation Management
SpO₂ monitoring
Cardiac Monitor
Yes
HR <100?
Yes
No
Oxygen, keep SpO₂ ≥94%
Maintain warmth
Monitor and reassess
No
Ventilation Management
Continue Assessment
Go to Ventilation Management
HR <60?
Yes
CPR 3:1 ratio
Vascular Access
Continue Assessment
Go to Vascular Access
HR <60?
No
Yes
EPINEPHRINE
1:10,000;
0.01 mg/kg IV/IO q 3-5 min
as needed for HR <60
☎
Transport per Pediatric
Destination Protocol; Radio
Contact to receiving facility
Continue Assessment
Go to Pediatric Destination