Neonatal resuscitation and post-resuscitation stabilisation — branching viva

Opening (candidate)

My first move is to ventilate. The baby is term, apnoeic and bradycardic, which puts him straight onto the resuscitation pathway. I would start positive-pressure ventilation in air at 40 to 60 breaths per minute, ask the nurse to apply pre-ductal pulse oximetry and three-lead ECG, and call for senior neonatal help. I would watch for chest rise and recheck the heart rate at 30 seconds, running MR SOPA if ventilation is not effective. ^{[1] [10]}