Neonatal Resuscitation Algorithm with 2020 Updates
| Alert the Neonatal Resuscitation Team. Counsel Parents. | |||||||||||||||
 | |||||||||||||||
One Minute | Deliver the Neonate | ||||||||||||||
| |||||||||||||||
| Assess tone, is the neonate breathing, crying and at term? |  Yes | Place baby with mom. Supportive care. Continue to newborn care and evaluation. Repeat APGAR at 5 min. | |||||||||||||
No | | ||||||||||||||
| Suction for secretions, warm neonate, clear the airway and stimulate the neonate | |||||||||||||||
| |||||||||||||||
| Assess heart rate (should be greater than 100 BPM/MIN), is the neonate having apnea or gasping for air? | No | Is the Neonate blue? Having difficulty breathing? | |||||||||||||
Yes | | Yes | | ||||||||||||
| Begin positive pressure ventilation. Place ECG and SpO2 monitor. | If needed start supplementing O2, suction to clear the airway and start CPAP if needed. | ||||||||||||||
| | ||||||||||||||
| Check Heart Rate? If less than 100 BPM/Min | No | Debrief the team and follow postresuscitation care. | |||||||||||||
Yes | | ||||||||||||||
| Assess for breathing and chest movement, laryngeal mask placement. Follow ventilation protocol if warranted. | |||||||||||||||
| |||||||||||||||
No | Check Heart Rate? If less than 60 BPM/Min |
| |||||||||||||
| |||||||||||||||
| Intubate. Begin resuscitation, chest compressions and positive pressure ventilation, keep SpO2 at 100%. Continue monitoring ECG, SpO2 and evaluate for umbilical vein catheter. | |||||||||||||||
| |||||||||||||||
| Check Heart Rate? If less than 60 BPM/min | |||||||||||||||
Yes |  | ||||||||||||||
| Administer IV epinephrine, if the heart rate doesn’t increase access for other causes i.e. hypovolemia or pneumothorax. | |||||||||||||||
Algorithms in your pocket
Tired of carrying a set of expandable cards all the time for some algorithms? Flipping through the cards to find the right one wastes valuable time in an emergency situation. MediCode gives you easy access to all the algorithms from the palm of your hands.
The individual algorithms included within this app are:
- Advanced Cardiac Life Support
- Basic Life Support
- Pediatric Advanced Life Support
- CPR
- Neonatal Resuscitation Program (NRP)
Los nuevos algoritmos en español y pasos fáciles de seguir disponibles para todos los territorios de habla española
