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Neonatal BLS Training Video

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I want to take a moment to talk about neonatal resuscitation.

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Primarily, the objectives to doing the actual basic life support is very, very similar in technique

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to the infant CPR that you've already seen. However, in the neonatal, there are some points

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that we need to differentiate the two. First of all, I think it's important that we talk about,

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what are our age differences? Keep in mind that a neonate is normally one month or younger

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and normally looked at as a newborn. So, whenever we talk about neonatal resuscitation,

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they don't have to have size difference. And I kind of put two baby manikins here to show you that a

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neonate may be smaller than an infant. Infants are one year or less.

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The neonate is one month or less. Because you can have a 12-pound baby.

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So, it can be a very large newborn. Neonate has more to do with how recently were they born.

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The neonatal resuscitation differentiates a bit from the CPR of an infant in that

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it is still airway, breathing primarily focused -- airway, breathing, and circulation.

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Whereas the infant, children, and adults -- the new guidelines are now really promoting that we are following

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the compressions first, then airway, breathing.

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Neonates are so driven, primarily, from a lack of oxygen, that it is of utmost concern

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for us to make sure that they have a patent airway, and that we are getting them the oxygenation

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that they need. Now, there's a lot of debate going back and forth about,

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do they need to have hyper oxygenation, or high concentration oxygen.

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And that is still out and enters into the advanced life support realm more than the basic life support.

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But, one of the biggest differences is that we're going to be doing a 3-compression to 1-respiration

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model for CPR. Remember, in the infant, we were doing 15 compressions to 2, with 2-rescuer CPR.

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And 30 compressions to 2 breaths with 1-rescuer CPR on the infant, child, and adult, 1-rescuer.

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Neonatal is 3 compressions to 1 -- that's fast!

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That's a lot of compressions and a lot of respirations.

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The respirations for a neonate that has a pulse -- and, keep in mind, in a neonate,

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unless they've already been released from the hospital, they're going to have pulse oximetry,

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they're going to have, probably, a heart rate monitor. We're going to have other devices available

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to help us to monitor the blood pressure of the neonate, the pulse rate of the neonate,

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the pulse oximetry of the neonate. Skin color, obviously, is very important.

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So, the respirations, or rescue breathing, for a neonate, is really going to be emphasized on

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heart rate, the blood pressure, and the pulse oximetry and color of the baby.

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Are they moving around, are they alert, are they "pinking up?"

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So, those are some of the differentiating aspects that we need to keep in mind

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when we're talking about neonatal basic life support.

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3 to 1, checking for color, movement, blood pressure, pulse oximetry,

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in resuscitating the baby. Those are the things we're going to be watching for in the neonatal.

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Something to keep in mind as we differentiate.

Neonatal BLS Training Summary:

Performing neonatal basic life support is very similar in technique to performing infant (1 year or less) CPR. However, there are some points that are differentiated for neonatal life support. A neonatal patient is 1 month or younger and usually considered a newborn. The main differentiation is that neonatal CPR is primarily airway breathing and circulation focused. Child and infant CPR instead focuses on compressions first. Neonates are so driven from a lack of oxygen that it is the primary concern that they get the oxygen they need. 3 compressions to 1 respiration is recommended for a neonatal patient. Heart rate, blood pressure, movement, and color of the neonate are the primary aspects to look at when providing basic life support.