Neonatal Resuscitation for Student Midwives

Summary

This video script provides essential guidance on performing CPR and emergency first aid in situations where you may not have your usual medical equipment. The speaker explains the steps to take when assisting a baby or adult in respiratory distress, detailing how to conduct mouth-to-mouth resuscitation or chest compressions based on the person's age. Emphasis is placed on immediate action, calling emergency services, and making informed decisions when concerned about exposure to illnesses. The video serves as a practical guide for anyone who may need to act quickly in a life-threatening situation.

Takeaways

• 😀 Always be prepared with the necessary equipment for emergencies, especially in community settings where equipment is often readily available.
• 😀 If you find yourself without equipment in an emergency, call emergency services immediately (999) and focus on chest compressions until help arrives.
• 😀 In a situation with a baby not breathing, it's important to cover both the nose and mouth for mouth-to-mouth resuscitation, if you feel comfortable doing so.
• 😀 If you're hesitant to perform mouth-to-mouth due to health concerns (e.g., COVID-19) or uncertainty about the person's history, focus on chest compressions instead.
• 😀 In emergencies involving babies, use a chest compression-to-ventilation ratio of 1:3, while for adults or children over two years old, the ratio is 2:30.
• 😀 Never hesitate to start chest compressions immediately in life-threatening situations, as it can save lives while waiting for professional responders.
• 😀 If you're unsure of how to handle a situation, always prioritize calling emergency services and follow basic life-saving protocols.
• 😀 Always reassess the patient’s condition continuously during resuscitation until help arrives.
• 😀 Knowing your limitations and not being afraid to ask for help or guidance is crucial in emergencies when you're unsure how to proceed.
• 😀 Sharing information on emergency procedures and practicing first aid regularly can ensure you're always ready to assist in critical moments.

Q & A

What is the first step in neonatal resuscitation when a baby is not breathing?

The first step in neonatal resuscitation is to give five inflation breaths. This helps to clear the lungs of any fluid and establish breathing.

What is the purpose of the C and E hand position when administering resuscitation breaths?

The C and E hand position is used to secure the mask around the baby's face during resuscitation. The C-shape is formed with one hand to hold the mask in place, while the E-shape with the other hand helps to stabilize the baby's airway.

When should chest compressions be initiated during neonatal resuscitation?

Chest compressions should be initiated if the baby’s heart rate remains low after 30 seconds of ventilation breaths. This is usually if the heart rate is below 60 beats per minute.

What is the proper chest compression to ventilation ratio for a newborn?

The proper chest compression to ventilation ratio for a newborn is 1:3. This means for every one ventilation breath, you perform three chest compressions.

Why is it important to reassess the baby’s condition after each set of resuscitative efforts?

Reassessing the baby’s condition after each set of resuscitative efforts ensures that the appropriate actions are being taken. It helps to determine if the baby’s color, tone, and breathing are improving and if further interventions are needed.

What should you do if you do not have access to resuscitation equipment during an emergency in the community?

If you do not have resuscitation equipment, you should immediately call for an ambulance and perform chest compressions. If mouth-to-mouth ventilation is necessary, it can be done by covering both the nose and mouth of the baby.

What is the guideline if you don't know the person or the baby you are trying to resuscitate?

If you do not know the person or the baby, it is advised to perform chest compressions rather than mouth-to-mouth ventilation due to the risk of potential infection or health concerns.

How should you perform mouth-to-mouth ventilation on a baby?

To perform mouth-to-mouth ventilation on a baby, cover both the nose and mouth with your own mouth to ensure effective air delivery. The breath should last for about 1-2 seconds per ventilation.

What should you do after successful resuscitation of a newborn?

After successful resuscitation, the baby should be placed in skin-to-skin contact with the mother for warmth and bonding. Early breastfeeding should be encouraged, and further observation and monitoring should be continued.

What should you do if the baby is born prematurely or has other special conditions?

For a premature baby or one with special conditions, the initial approach might be adjusted. Premature babies may require different ventilation strategies, and special care should be given to their body temperature and oxygen levels.