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Emergency Medicine Cases

Ep142 Neonatal Resuscitation – Airway, Temperature Control, Central Access, Hemodynamics, Glucose Control and Transport

Emergency Medicine Cases

Dr. Anton Helman

Science, Courses, Medicine, Health & Fitness, Education

4.7602 Ratings

🗓️ 19 May 2020

⏱️ 85 minutes

🧾️ Download transcript

Summary

Dr. Hilary Whyte, Dr. Jabeen Fayyaz, Dr. Emily MacNeill discuss a neonatal resuscitation algorithm, airway management, fluid resuscitation, central access tips, glucose and temperature control and transport tips...

Transcript

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0:00.0

There's something indescribable that happens when the overhead speaker crackles overhead with code pink.

0:07.6

Without a doubt, these are the most heart-wrenching moments that ever happen inside the walls of a hospital.

0:13.6

The stakes are high, and every person in the building collectively holds their breath.

0:18.2

It's in the air. You can feel it.

0:23.0

All the more reason to know neonatal resuscitation better than the back of your hand. Now, this is not an easy task. We're talking about

0:29.5

hopefully once in a career event that requires expertise, precision, and outstanding team dynamics.

0:39.3

Resuscitation of the sick newborn is a halo situation, high acuity, low opportunity for most of us, but there are a few

0:46.5

things in medicine more worthwhile knowing. And no better way to learn about this halo situation

0:51.9

than in a low-stakes environment like this podcast.

0:55.5

Now, just to get things in perspective, thankfully about 90% of births are uncomplicated,

1:01.5

requiring just a quick overall assessment, a clamp and cut of the cord, and placing the baby on

1:06.9

mom's chest to keep them warm. Of the remaining 10%, almost all of them just require a

1:13.6

little bit of help, maybe some stimulation, a bit of oxygen, pretty much easy stuff. But of the

1:19.9

births we manage in the ED, a small percentage will require advanced resuscitation. So this

1:26.4

podcast is not for the veteran neonatologist. It's for

1:30.0

the community, academic, or rural general EM doc who might be faced with a dying neonate once

1:36.0

or twice in their career. So with that in mind, I've invited three expert neonatal resuscitationists,

1:43.0

all new to EM cases, Dr. Hillary White, Dr. Jabine Fias, and Dr. Emily McNeil.

1:49.8

Now, they're going to guide us through the AHA neonatal resuscitation algorithm box by box and highlight key strategies, techniques, and equipment, and also some of the major pitfalls in early resuscitation.

2:03.1

So welcome, everyone. Let's go through one by one, just a little bit about your professional

2:08.4

careers, a little background so that our listeners know who they're listening to. So let's

2:13.3

start with Dr. White. Dr. White, can you tell us a little bit about your professional background?

...

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