Assessment and Stabilization
30 sec	Term gestation; HR >100; breathing or crying; good muscle tone; good RR and effort; no cyanosis		Keep with mother; routine care; dry, keep warm; reposition prn; clear airway prn; ongoing assessment
	Preterm (<38 weeks); poor muscle tone; not crying		Dry, warm, O2 prn; clear airway prn; stimulate
Reassessment and Ventilation Support
60 sec	HR >100; labored breathing Persistent cyanosis		Clear airway, SpO2, consider CPAP; ongoing assessment
	HR <100 (but >60) or gasping or apnea		PPV 40-60 bpm, SpO2 monitoring; consider ECG monitoring
Reassessment and Circulatory Support
90 sec	HR <100 (but >60) despite PPV		Take ventilation corrective steps; ETT or LMA if needed
	HR <60 despite ventilation corrective steps		CPR 120 events*/min; PPV; intubate if not already done
	If HR remains <60 despite PPV and adequate chest compressions		IV epinephrine**; continue CPR; PPV; ETT if no chest rise

^* Coordinate 90 compressions and 30 bpm in a 3:1 ratio.

^** Epinephrine (1:10,000): 0.01-0.03 mg/kg (0.1-0.3 mL/kg). Give rapidly UVC (preferred), IV or IO (ET route: 0.05-0.1 mg/kg).