Neonatal Resuscitation

Most infants transition from intrauterine to extrauterine life without any assistance. The term-infant with good tone, color, and respiratory effort requires no assistance and should be handed off to the mother after birth. However, approximately 10% of infants require some resuscitation and about 1% require extensive resuscitation.  The main priority in neonatal resuscitation is establishment […]

2020 American Heart Association (AHA) Guidelines for Cardiopulmonary Resuscitation (CPR) and Emergency Cardiovascular Care (ECC)

The 2020 Heart Association (AHA) Guidelines for Cardiopulmonary Resuscitation (CPR) and Emergency Cardiovascular Care (ECC) are a comprehensive revision of the AHA’s guidelines for adult, pediatric, neonatal, resuscitation education science, and systems of care topics. They have been developed for resuscitation providers and AHA instructors to focus on the resuscitation science and guidelines recommendations that […]

Post ROSC

System Action Airway Intubate → Ventilation tidal volume @ 6-8 mL/kg Place OG or NG tube Confirm endotracheal and OG/NG tube placement with chest x-ray Breathing SpO2 goal >94% → adjust PEEP & FiO2 to achieve goal EtCO2 goal 30-40 mmHg → adjust respiratory rate to achieve Circulation 12-lead ECG → Activate cardiac catheterization lab […]

The Crashing Infant

Call for help. Take out the Broselow tape. Get the child on the monitor and check the vital signs. Apply oxygen. Obtain vascular access. Check a sugar (and treat as necessary). Treat for infection.  

When it’s time to call off the resuscitation…

  CEASE: (look for) Clinical features that predict survival; (evaluate the) Effectiveness of resuscitation efforts; Ask the other clinicians present; Stop resuscitation efforts; Explain what has happened to the family.

Emergency Medicine Kenya Foundation

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