MedBugs: SAQ #376

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Case: Preterm neonatal resuscitation and debrief

An emergency alarm is activated in your ED after precipitous delivery of a preterm baby in the carpark.

1. What is the recommended length that an umbilical cord should be clamped in a newborn who is at risk of needing resuscitation? 1 mark

2. State (2) methods to maintain normothermia in a preterm newborn. 2 marks

This is an image of a Neopuff infant resuscitator.

3. What are the numbered parts of the resuscitator used for? 2 marks

4. Where should pulse oximetry be placed on a newborn and why is this placement important? 2 marks

After 1 minute of resuscitation, the spontaneously breathing preterm newborn has signs of respiratory distress so you decide to use the CPAP

5. What would be your initial CPAP pressure settings and your FiO2? 2 marks

After 1 minute, you decide to increase the PEEP on the Neopuff.

6. How do you achieve this? 1 mark

After 2 minutes of resuscitation, you decide to secure the airway

7. What size and type of bloade are you going to use for the patient? 1 mark

At the conclusion of the resuscitation, you are asked to lead a hot debrief

8. List (4) major components of a hot debriefing session. 4 marks

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