Newborn resuscitation.
What is the first step in the "newborn algorithm" after the delivery of the baby?
Drying the child front and back usually stimulates the child to breathe and cry.
When performing CPR on a newborn what is the chest compression to ventilation rate you should use?
Before commencing chest compressions for a heart rate < 60/min make sure you have given 30sec of effective ventilation, and that has not worked to bring up the heart rate.
A term newborn still has a persistant HR< 60/min despite CPR. What is the dose of adrenaline given IV?
Always potential for confusion.
0.5ml of 1.10000 for a 3.5kg newborn works out to be 50mic of adrenaline which is a bit over 10mic/kg (10mic/kg is the recommended dose in children) but it is easier to remember.
What is the recommended technique for chest compressions when you are performing CPR on a newborn with 2 clinicians?
When the CPR is being performed with a single clinician/rescuer a 2 finger technique rather than 2 thumbs with hands around the chest is more practical.
Which of these famous 4 people were not born premature?
Shows prematurity does not stop greatness and being full term does not stop you becoming a dictator.
Which of the following is INCORRECT about umbilical vein access?
Yes it certainly can be used for the delivery of resuscitation drugs.
If a newborn is found to be hypoglycemic which of the following is the recommended dose of IV Dextrose?
Note that this is higher than the recommeded dose (APLS guidelines) for infants and children which is 2ml/kg of 10% Dextrose.
What is the recommended uncuffed ETT size for a full term baby?
Always prudent to have 1 size above and below available.
What does APGAR in the APGAR Score stand for?
You get 0,1 or 2 points for each component. As a result the score is between 0 and 10. It is performed at 1 and 5 minutes after birth. Created by Virginia APGAR--see picture. Off handedly Virginia Apgar was known to carry a pen knife, ETT and a laryngoscope just in case somebody around her stopped breathing.
Which one of these "Guinness Book of World Records" is not true?
Apparently a peasant lady in Russia gave birth to 69 babies to her first husband and 18 to her second husband. She had 16 pairs of twins, 7 sets of triplets and 4 sets of quadriplets.