ALS - Neonatal Resuscitation Protocol
From Paramedipedia - Ontario Paramedic Standards
- A paramedic should manage a neonate immediately following delivery or an infant <30 days old and in need of resuscitation according to the following protocol.
- All neonates immediately following delivery or <30 days old and in need of resuscitation.
- Patients who meet conditions for “obvious death” as per Basic Life Support Patient Care Standards OR who meet conditions of the DNR Standard.
- 1. Assess neonate for the presence of meconium, breathing, crying, good muscle tone and colour.
- 2. Provide warmth, position, and clear the airway by suctioning the mouth prior to suctioning the nose.
- 3. Dry, stimulate and reposition.
- 4. Give O2 as necessary.
- 5. Evaluate respirations, heart rate and colour.
- 6. Provide positive - pressure ventilation (± ETT for ACP only) if neonate is apneic or HR <100.
- 7. If HR <60 provide positive pressure ventilation for 30 seconds and reassess. If HR is still <60 begin chest compressions (refer to CPR Guidelines Reference).
- 8. Initiate transport (PCP only).
- 9. If no response to ventilations and CPR, consider epinephrine administration as per the ALS - Neonatal Resuscitation Algorithm (ACP only).
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