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The program is intended for healthcare providers who perform resuscitation in the delivery room or newborn nursery. [4] Providers who take the Neonatal Resuscitation Program are diverse in their scope of practice. The course outline is flexible to allow providers to complete specific modules directly related to their practice. [5]
About every five years, the European Resuscitation Council publishes updated guidelines about all stages of resuscitation, both for medical staff and for so-called lay rescuers. [ citation needed ] Guidelines provide a rigid evaluation sequence and actions that rule rescuer, occasional or health, in recognition of cardiac arrest in children ...
Neonatal resuscitation guidelines closely resemble those of the pediatric basic and advanced life support. The main differences in training include an emphasis on positive pressure ventilation (PPV), updated timings on ventilation assistance rates, and some differences in the cardiac arrest chain of survival.
Providers should follow the AHA's Pediatric BLS Algorithms for single and ≥ 2 person rescuer. The most essential component of BLS and PALS cardiac arrest care is high quality cardiopulmonary resuscitation (CPR). CPR should begin with a check for responsiveness, getting help, and activating the emergency response system. [2]
The Apgar score is a quick way for health professionals to evaluate the health of all newborns at 1 and 5 minutes after birth and in response to resuscitation. [1] It was originally developed in 1952 by an anesthesiologist at Columbia University, Virginia Apgar, to address the need for a standardized way to evaluate infants shortly after birth.
The 'ABC' method of remembering the correct protocol for CPR is almost as old as the procedure itself, and is an important part of the history of cardiopulmonary resuscitation. Throughout history, a variety of differing methods of resuscitation had been attempted and documented, although most yielded very poor outcomes. [42]
Neonatal nurses are a vital part of the neonatal care team and are required to know basic newborn resuscitation, be able to control the newborn's temperature and know how to initiate cardiopulmonary and pulse oximetry monitoring. [1] Most neonatal nurses care for infants from the time of birth until they are discharged from the hospital.
For management of pediatric cardiac arrest, CPR should be initiated if suspected. Guidelines provide algorithms for pediatric cardiac arrest management. Recommended medications during pediatric resuscitation include epinephrine, lidocaine, and amiodarone. [163] [81] [82] However, the use of sodium bicarbonate or calcium is not recommended.