NLS 2015 AIRWAY TEST

AIRWAY TEST 

SHOW ALL FORMS OF AIRWAY USED

DTC 

OA-NP-MASK ROLL, CE GRIP, GOOD SEAL, 5IB 

IB- 123, 223, 323, 423, 523, ALL ON BAG AND MASK , SQUEEZE ALL THE WAY TO 123

COLOR TONE BREATHING HR

IS THERE CHEST MVT?

IF NOT, CALL FOR HELP, 1 HANDED JAW THRUST, CHOOSE GUDEL, LARYNGOSCOPIC SUCTION, 2PAC (JT, BETTER MASK SEAL)

CM PRESENT

SLOW HR <60- CC/VENT 3/1 

VENTIL BREATHS 30/MIN 1 SEC DURATION

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1/ FLOPPY NEONATE GIVEN BY MIDWIFE- ASK TONE, COLOUR, BREATHING, HR, CHEST MVT AFTER 5 IB

2/ DONT FORGET TO START THE CLOCK AT THE BEGINNING.

3/ 28 WEEKER UNEXPECTED- REDUCE INS PRESSURE TO 25. USE BAG

4/ DONT MOVE TO CC TILL CM SEEN

IF NOT SURE, REPT 5 IB

5/ LOCUM SHO CONFIDENTLY PUT ETT IN ESO- CONFRONT, STOP, GO BACK TO 5IB

6/ BABY DELIVERED IN A/E TOILET- NO POINT IN BAG 

AS COLD WET, UNLIKE WARM WET PRETERM 

7/ POST NATAL COLLAPSE- ASK ABT SATS, MAXIMISE O2

8/ SLOW HR- ASK IF < 60 THEN CC / VENT

9/ALL SCENARIOS IN AFTERNOON- JUMP IN FOR CONTINUOUS ASSESSSMENT

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MANOUVRES TO REMEMBER

NEUTRAL POSITION

ROLL UP CE HOLD MASK

1 HAND JT THEN MASK AND BAG

BAG - INFLATION BREATHS 123,223, ....ALL COUNT IN COMPRESSION

GUDEL MEASURE- CURVE SIDE UP, MIMICS TONGUE

GUDEL IS ONE PERSON EQUIVALENT OF JT

2PAC- HEAD ENDER FOR CORRECT JAW THRUST, AVOID EYES

DONT TAKE AWAY LARYNGOSCOPE BEFORE INSERTING GUDEL

MEASURE GUDEL FIRST THEN INSERT

SAY OXYGEN IS CONNECTED TO BAG AR INCR CONCN IN RESUS SCITUATION

CALL FOR HELP IF NO CM ON 1ST CYSCLE IB 

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The biggest changes are:

• We no longer intubate and suction for meconium. The resuscitation proceeds identically whether or not meconium is present

• Heart rate is monitored using ECG leads, rather than the classic palpation of the umbilicus

• CPAP is added as an option for laboured breathing or persistent cyanosis

• The first 30 second assessment has been removed because it was unrealistic. The goal is to just get an initial assessment and initial maneuvers done in the first minute.

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