Newborn resuscitation

Warm
Clear airway
Dry stimulate

Warm
Clear airway
Dry

Breathing
Crying
Good tone term

Yes

No

Stay with mother

End

Act within 60 sec

PPV
100% O₂ intubation
Chest compressions
Monitor SpO₂

PPV
Monitor SpO₂
Consider ETT or LMA

Assess within 30 sec

HR <60 Gasping Apnea

HR <100 Gasping Apnea

HR ≥100
Labored breathing
Persistent cyanosis

Clear airway
Consider CPAP
Monitor SpO₂
Suppl O₂ prn

HR <60

Epinephrine (0.01-0.03 mg/kg IV)

Persistent HR <60

Consider: pneumothorax hypovolemia

^aTarget Spo₂ refers to preductal saturation (eg, right arm) as opposed to postductal (eg, feet). For access can place IV/IO but can consider umbilical venous catheter (UVC) placement as well.

Targeted SpO₂^a

1 min: 60%-65%

2 min: 65%-70%

3 min: 70%-75%

4 min: 75%-80%

5 min: 80%-85%

10 min: 85%-95%

“Golden minute”
Assess and act within 60 sec