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Approximate timeBIRTHTerm Gestation? Amniotic Fluid Clear? Breathing / Crying? Good Muscle Tone?Routine Care: Provide warmth Clear Airway if needed Dry Assess ColorAYESNO 30 sec Provide warmth Positive clear airway* (as necessary) Dry, stimulate, repositionEvaluate: RESPIRATIONS HEART RATE COLORBreathing, HR >100bpm & PinkObservational CareBREATHING, HR >100bpm but CYANOTICPINKAPNEIC or HR Give SUPPLEMENTAL OXYGENPersistent CyanosisBProvide: POSIT
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Approximate
time
Breathing,
HR >100bpm
& Pink
Effective Ventilation,
HR >100bpm, Pink
Persistent
Cyanosis
BIRTH
Term Gestation?
Amniotic Fluid Clear?
Breathing / Crying?
Good Muscle Tone?
Provide warmth
Positive clear airway*
(as necessary)
Dry, stimulate, reposition
Evaluate:
RESPIRATIONS
HEART RATE
COLOR
Provide:
POSITIVE PRESSURE VENTILATION
Provide:
POSITIVE PRESSURE VENTILATION
Administer:
CHEST COMPRESSIONS
Administer:
EPINEPHRINE and/or VOLUME
Routine Care:
Provide warmth
Clear Airway if needed
Dry
Assess Color
Observational Care
Postresuscitaion
Care
*Endotracheal intubation may considered at
several steps
YES
NO
APNEIC or
HR <100bpm
BREATHING, HR >100bpm
but CYANOTIC
Give
SUPPLEMENTAL
OXYGEN
PINK
HR <60bmp HR >60bmp
HR <60bmp
A
B
C
D
30 sec
30 sec
30 sec
