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EMR
EMT
AEMT
Paramedic
Extended
Pediatric Neonatal Care
Respirations Present?
Pediatric Neonatal Care
Universal Patient Assessment
for mother
Assess and document amniotic fluid
color
Dry infant and keep warm
Stimulate and note APGAR
Score: immediate score and
score at 5 minutes
Cardiac Monitor
Check BGL
10% Dextrose
2mL/kg IV/IO
via syringe ONLY
Reassess heart rate
Pediatric Airway Protocol
Monitor and reassess
BVM
30 seconds
40-60bpm with O2
CPR
Pediatric IV/IO
Appropriate Protocol
Consider
Fluid Bolus
10mL/kg
Use
only
blow-by
oxygen for neonates
Yes
No
HR > 100
HR < 100
< 40mg/dL
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.
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%