Newborn Advanced Resuscitation |
| Asystole or severe bradycardia persists |
| Continue CPR if pulseless or HR 60 per minute |
| Reassess every 30 seconds |
| Asystole or severe bradycardia persists | |
| IV / IO Adrenaline 10mcg/kg repeated at 3 minute intervals | |
| Asystole or severe bradycardia persists | |
| Intubate | |
| If unable to obtain above venous access - Adrenaline 100 mcg/kg ETT |
|
| Asystole or severe bradycardia persists | |
| Normal Saline 0.9% 10 to 20 ml/kg IV or IO | |
| Repeat if necessary | |
| If pulse returns |
| At early opportunity, assess BGL |
| If BGL <2.6 mmoL, consult with NETS for administration of 10% Dextrose or Glucagon |
| Adrenaline 1:10,000: 10mcg/kg IV or IO (100mcg/kg via ETT) - Do not use 1:1000 unless diluted to 10ml Normal saline: 10 - 20 ml / kg IV or IO. Repeat if necessary If BGL < 2.6 mmol consult with NETS for drug and dose administration advice for management using Dextrose 10% or Glucagon Sodium Bicarbonate: Not indicated / should not be administered Atropine: Not indicated / should not be administered Naloxone: Not indicated / should not be administered even in the setting of suspected narcotic overdose. It can lead to acute withdrawal and seizures in the newborn Sedation: Not usually required to maintain ETT. Consult NETS for further advice if necessary |