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