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. | |||||||||||||||
Why choose us?
Unlimited Exam Retakes
If you do not pass on your first try, you can reset the exam and try again. You have unlimited retakes and as much time as needed to complete the exam each time.
Anywhere, Anytime
You can take the exam at your own pace, anywhere, anytime without worrying about a running clock. All progress on exams can be saved, allowing you to continue where you left off when you log back in.
CME Credits
Our Certification and Renewal exams are constructed in accordance with the 2015 guidelines and standards. Self-directed online education is eligible for category 2 CME credits. See the guidelines of your organization for claiming the credits you have earned.