2015 Trumbull Memorial Hospital Demo

Pediatric Neonatal Care

Pediatric Neonatal Care

Universal Patient Assessment for mother

Clinical Considerations  Meconium suctioning is no longer recommended by the AHA as a routine practice.  The recommendation is to intubate and perform suctioning only when the neonate is nonvigorous and other BLS interventions have failed.

Assess and document amniotic fluid color

Targeted SpO2 minutes after birth  1 minute 60-65  2 minutes 65-70%  3 minutes 70-75%  4 minutes 75-80%  5 minutes 80-85%  10 minutes 85-95%

Dry infant and keep warm

Stimulate and note APGAR Score: immediate score and score at 5 minutes

Check BGL

No

Respirations Present?

< 40mg/dL

Yes

BVM 30 seconds 40-60bpm with O2

10% Dextrose 2mL/kg IV/IO via syringe ONLY

Cardiac Monitor

Reassess heart rate

HR < 100

HR > 100

Monitor and reassess

Pediatric Airway Protocol

Use only blow-by oxygen for neonates

CPR

Pediatric IV/IO

Consider Fluid Bolus 10mL/kg

Appropriate Protocol

87

EMR

EMT

AEMT

Paramedic

Extended