Out-of-Hospital Delivery of a Live Newborn Requiring Resuscitation
ABSTRACT:
Audience:
This simulation is designed to educate emergency medicine residents and medical students on the initial assessment and resuscitation of a neonate in respiratory distress.
Introduction:
The incidence of spontaneously delivered neonates that require resuscitation is low. Despite the fact that only about 10% of neonates require some assistance and less than 1% require extensive resuscitation measures, it is critical that the emergency physician be prepared to perform neonatal resuscitation.1A structured pathway focused on airway and respiratory support must be followed if initial supportive measures are inadequate.
Objectives:
By the end of this simulation session, the learner will be able to: 1) perform a neonatal assessment, 2) identify which neonates require resuscitation, 3) understand the principles of neonatal resuscitation, 4) describe proper airway management in neonatal resuscitation, 5) discuss underlying etiologies or pathologies that may lead to a neonate to require resuscitation and 6) communicate effectively with team members and nursing staff during the resuscitation of a critically ill neonate.
Method:
This session is conducted using high-fidelity simulation, followed by a debriefing session on neonatal assessment and resuscitation. However, it could also be run as an oral boards case.
Topics:
Medical simulation, out-of-hospital delivery, neonatal assessment, neonatal resuscitation.