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O&G CasesNeonatal care — resuscitation and transition

O&G Cases · Neonatal care — resuscitation and transition

Bradycardic newborn — emergency resuscitation station

Emergency-management station: a bradycardic newborn needing ventilation, then compressions and adrenaline. Tests the sequence, the escalation thresholds, the ventilation settings and saturation targets, closed-loop communication, and handover to the neonatal team. Includes assessor key and marking domains.

resus3 min readVerification in progress

Target exams

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Target exams

FRANZCOGMRCOGABOG
Prompt
A 39-week baby is delivered by emergency caesarean for a pathological CTG with late decelerations and reduced variability. At birth the baby is limp and apnoeic. The neonatal advanced resuscitator has been called but is in another theatre and is five minutes away. You are the registrar who must lead the resuscitation now.

Station brief

Format. Emergency-management station, approximately 12 minutes. You are the registrar at the resuscitaire with a scrub midwife and an anaesthetist; the neonatal advanced resuscitator is en route. The assessor runs the clock and feeds new observations.[1]

Candidate instruction. Lead the resuscitation of a bradycardic term newborn. Verbalise your assessment, your ventilation strategy, your escalation thresholds and your drug orders with doses, and your communication with the team and the parents.[1][2]

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References5ShowHide
  1. [1]Liley HG, Weiner GM, Wyckoff MH, et al. Neonatal Life Support: 2025 International Liaison Committee on Resuscitation Consensus on Science With Treatment Recommendations Circulation, 2025.PMID 41122846
  2. [2]Aziz K, Lee HC, Escobedo MB, et al. Part 5: Neonatal Resuscitation: 2020 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Circulation, 2020.PMID 33081528
  3. [3]Madar J, Roehr CC, Ainsworth S, et al. European Resuscitation Council Guidelines 2021: Newborn resuscitation and support of transition of infants at birth Resuscitation, 2021.PMID 33773829
  4. [4]Dawson JA, Kamlin CO, Vento M, et al. Defining the reference range for oxygen saturation for infants after birth Pediatrics, 2010.PMID 20439604
  5. [5]Vali P, Weiner GM, Sankaran D, Lakshminrusimha S What is the optimal initial dose of epinephrine during neonatal resuscitation in the delivery room? J Perinatol, 2021.PMID 33712718
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