A.

~couns,elln,g
S. TNmtlfliltlnglc.tfor""'Plfl'loQIMIMI
C. E:quipMnt Cheek
D. Room~tdlftc.lMd
N{Ph Algorithm

MO Lllctollon
support

1. Cell b'-lp
2. CNanQl.,..llntln
1. CWIIPIM e.u1it- toril
._ T.-.nnno -..,me,
5. Polllton ww•y

·-
e. ci..,M<t,..liotsif"ffOe<t

e , . ppy
L lp01 mor,ltomsJ
't'

~o

YES

--
--
---
t '(l-.,ltl.1.119f1COJ'tl'Ctrd.t'~
IO.llnMM4•1t Mtd4ld
a. PotaiOn_.., dNf'.,..,
b. SCIO, fflCll"IIIOffl
c. aq $ I wralO,• ..0.0
Cl. c;......,C,,AI'

-
--
•o

-- tO. lnblOMitmt ~ done

it. Co6Hll'ifid,-IIV W cfwttc:on,p;.,.,._
,2. 10Ko,
1.1. eon...r UVC lnHfflon
>------, NR
1<0

14. IV '9inepMne
15. C0Mldet l'IVf)Ovolemla
t i. COl'ISldlwpneumOlh«U
 NEWIIDII" m.cia- - u - , I • .,. ISTIIT

ASSESS All newborns require initial assessment to

determine whether resuscitation is required
1. IS THE BABY TERM OR PRETERM
For special circumstances:
2. LIMP/ ACTIVE
1. Before entering the scene
3. APNEIC/ REGULAR RESPIRATION
... ._ rescuers should don PPE to guard
4. MECONI UM STAINED?
---
~---
- ·-.....
--
c-... ......, ....
against contact with both alrbome
and droplet particles.
2. Limit personnel in the room or on
QUICK DRYING the scene to only those essential for
patient care.
ONLY 15 SECONDS FOR FACE, HEAD, BACK
NO
AND EXTREMITIES
CUT CORD IMM EDIATELY
. ,...,._.....,.....,
...
e.
ltO,~ " '
........... o., ......
• C.-,:.U.11

e C e e
NR
Ph Ht:W80;:NRISC160TA110N,PHIJJff4SETTNil tSWSJ.JIPORI' (l01QllACTAJ10NSUWOR1'1 lmANGYNW>ISTAT

Condition Ventilation corrective

steps/actions

Inadequate seal Mask adjustment

Ventilation - Reapply mask to face and lift jaw
forward
Corrective
Steps Blocked airway Reposition airway
- Place head in sniffing position
Suction mouth and nose
- Check for secretions
Open mouth
- Ventilate with newborn's mouth
slightly open

Not enough Pressure increase until there is

pressure perceptible chest movement

Airway alternative
NR
Ph N(WIOP.WUSO.

NR
p.;
Condi
5) POSITION AIRWAY

lnade t/ Sruffmg pos1t10n

Ventilation t/ Posll.iOn b4by on bac.k or side, altghlty

Corrective ox.tending nod

t/ .Al,gns postol'"IOf PMl'YM laryruc and trachea
Steps Block Initial Steps of
Resuscitation

Not en • • • • • • • • •
press i C. Tan's screen

Airway alternative
 NEWBORN RESCUSOTATION.PHIUPP<NESETTING I lBWSll'PORT (ICMQ I lACTATION SUPPORT I UNANG VAY.AP ISTAT

All newborns require initial assessment to

determine whether resuscitation is required
For special circumstances:
I Thorough drying
ani:1
Qlid:HMumelll
1. Before entering the scene
rescuers should don PPE to guard
1
)
Cd ~lle.'p
Change ""lit ntnl
against contact with both airborne
l CIM!p Md cut 1,u COid
T,-lef ID A MITIOI and droplet particles.
,.OS<IMNI_,,
Clear l«f9ll0nlll nffdeel 2. Limit personnel in the room or on
the scene to only those essential for
8 ,.,,.,
1p0, ~ i n o
' patient care.

NO

,.
10
I l'Ollllal 8"CS - •""'Y
b. Sp01 ,n;, 'lc>t r,.;;
C. S~ntal01 » 1emo=I
c1. eoc- cf'AI'
0

10 lnlutwt• I ,,.,. •"".acty oono

11 C-d!Nted f'f'V aid dlull CIIITIIJfWAJ0<11
12 1 ~ 0,
13 C, ,.. UVC 1Mti110n
Endotracheal
Tubes:
Tube internal
Choosing the diameter size Weight Gestational age
appropriate (mm) (g) (wks)
.
size 2.5 <~00 <28
3.0 1 1000-20002 28-34
3.5 • 2000-3000 34-38

Weight Depth of insertion

(kg)
(cm from upper lip)
Tip-to-lip
1 7
measureme
2 8
nt 3 9
4 10
 'r nlUfl''ltUSITTN, w stFPORfl'OI:) ~5Uiroml ~YNWIISTAT

The tube is not likely in the trachea if:

~
• Newborn remains cyanotic and bradycardic

e No breath sounds over lungs

Checking • Abdomen becom ~ distended

Tube Position
• Air noises over stomach

e No mist in endotracheal tube

e chest not moving symmetrically

with positive-pressure breaths
 ea uoeuoo 01uco11119 cuuu 000110;

rescuers should don PPE to guard

t,
2
Cal lat tM!lp
~ Mlllncn
against contact with both airborne
l
4
Clarllp anct cut tho aitd
f,-flt, lo " ;rrmt!f and droplet particles.
5 l'O!lltioft airw.iy
I CIHf MCf'10nt 11 ~ 2. Limit personnel in the room or on

e 1,
••
""
tt,O, mondOIIIIQ ' the scene to only those essential for
patient care.

NO

ll l"O. II IOII end dtJN l!r'df

II, lpO, mo,AJl!h,g
c.. S11pp6enwntal 0 1 11 nNdttd
ct. Conwtr CPU - - - - - - - - ~

lft1uba• if rlQI Dlrc,ady 0Dno

Coonlinlt.d "'1Y arl(I d-.QI CCIOtpliUICtll
100~0,
Oonlllwl uvc WINf1IOft

• 14
u
,.
,V ep!fleph,-
0onaidor hJpowolenlla
eonw.t pntllll'IOC'""1Ui
• •
 After 60 seconds of
Stopping compressions and
Compressions ventilation, stop and
c ec ra e
YES
10 Intubate if nol llrudy done
11. Coordtnated PPV and cheli
'f"Preuloos
10 100% o,
11. Conai.r VC Insertion

JV epinephrine
• e e • • ' C • ConsJder hypovolt
ConsJder pneum
rics scr een
1

'

15 ~ hypowolffllill
11, Conlldef pneumothoru
I
 When the heart rate remains below
60 beats per minute despite

e 30 seconds of assisted ventilation

Epinephrine followed by
Indications e 60 seconds of coordinated compressions
and ventilation

Total = 90 seconds
NR
Ph ~ ~ r n _ . , , . . . S T I T N C LIWSlR'ORl

Recommended concentration =
1:10,000

Recommended route =
Intravenously (consider endotracheal
route while intravenous access being
obtained) Dilute 1:1000
concentration
Epinephrine: Recommended dose =
to 1:10,000
0.1 to 0.3 mUkg of 1:10,000 solution
Dosing (consider 0.5 to 1 mUkg if giving via
endotracheal tube)
Recommended preparation =
1:10,000 solution in 1-ml syringe (or
larger syringe if giving endotracheally)

Recommended rate of administration =

Rapidly-as quickly as possible
 y
e Clear Mae:iont II nMded 2. Limit personnel in the room o

e 1.
•
""'
1p0, rnondOflllQ
I the scene to only those essenti
patient care.

NO NO

,.
10
a ,o.,tion .-.a c1ta1 an.1ty
t>. Sp01 m~tonng
c. Supplemef'llal 0 1 n needed
cl. Coml:J¥ c,AI'
0

10 lntubalut not alre:a::y oone

11 Coordlnal1d ,'1V and chftl cam;m,talana
U 100'lf. o,
tJ too dtf UVC IMertlon

• u IV eplneph,IM
15 Con51dor hypovoltfflla
11. Conllder l)MUfflOthoru
• • •
UVC LENGTH FORMULA

WEIGHT (KG) X 3 +9 ) + 1 = LENGTH IN CM

2