PEDIATRIC CARDIAC EMERGENCY 613 Neonatal Resuscitation Assessment Newborn with respiratory or circulatory distress Dry and place in face up head down position Keep infant level with mother until cord is clamped Suction airway, if obvious obstruction to spontaneous breathing or requiring or requiring positive pressure ventilation Respirations If spontaneous Wait 1-2 minutes then complete clamping cord and cut between clamps Cover infant head Wrap and keep warm Provide Oxygen Transport without delay If no respirations Stimulate respirations: rub back, snap bottom of feet gently, if no change or respirations become depressed (<20 bpm) Re-suction airway High flow oxygen if no change ventilate with BVM at 30/min Wait 1-2 minutes then cord and cut between clamps Transport Immediately Pulse If pulse rate is less than 60 perform CPR at rate of 120 compressions/min, transport Continue chest compressions EMR STOP Pulse oximetry EMT STOP INT or IV NS, if hypotensive bolus 20 cc/kg If pulse rate is >60 keep warm, ventilate with BVM if necessary, transport AEMT STOP 12 Lead EKG, if appropriate The dose of epinephrine is 0.01 mg/kg IV/IO (0.1 cc/kg of 1:10,000) given q 3-5 minutes, and repeat until heart rate is above 60/minute. Refer to the length based tape to confirm dosage.
PEDIATRIC CARDIAC EMERGENCY 613 Neonatal Resuscitation Assessment Newborn with respiratory or circulatory distress Dry and place in face up head down position Keep infant level with mother until cord is clamped Suction airway, if obvious obstruction to spontaneous breathing or requiring or requiring positive pressure ventilation Respirations If spontaneous Wait 1-2 minutes then complete clamping cord and cut between clamps Cover infant head Wrap and keep warm Provide Oxygen Transport without delay If no respirations Stimulate respirations: rub back, snap bottom of feet gently, if no change or respirations become depressed (<20 bpm) Re-suction airway High flow oxygen if no change ventilate with BVM at 30/min Wait 1-2 minutes then cord and cut between clamps Transport Immediately Pulse If pulse rate is less than 60 perform CPR at rate of 120 compressions/min, transport Continue chest compressions EMR STOP Pulse oximetry EMT STOP INT or IV NS, if hypotensive bolus 20 cc/kg If pulse rate is >60 keep warm, ventilate with BVM if necessary, transport AEMT STOP 12 Lead EKG, if appropriate The dose of epinephrine is 0.01 mg/kg IV/IO (0.1 cc/kg of 1:10,000) given q 3-5 minutes, and repeat until heart rate is above 60/minute. Refer to the length based tape to confirm dosage.