There was a lot of information, but a few key things really stuck out and I would like to share them with those of you who have not taken that class.
- Organization- like all other high stress events we have, I encourage you to plan ahead. Work with your partner before you arrive and assign tasks. Who is going to place the oxygen?, who is going to ventilate and check the airway? who is going to check the cord and ensure it's clamped?. Being deliberate will help you a ton.
- Oxygen- against everything we want to do, we have got to stop reflexively putting oxygen on these newborns. Because of how their circulation transition from fetal to , it is normal for their oxygen saturations to start at 60% and rise to 90% over the next 5-10 minutes. The child is in no danger with those numbers for that period of time. In fact, they are suggesting that there may be problems if we artificially push the oxygen up to 100% immediately.
- Important- the recommendation is to put the O2 sat monitor on their Right wrist.
- Ventilation - it is all about ventilation. When challenged with a decision about intubating or placing an IV/IO, I wanted to place the IO to give epi for a slow heart rate. Then answer was always, put an ET tube in and see if that increases the heart rate. Wait on the IV.
- So ventiltion is the priority.