Lightning Learning: Newborn Life Support

Lightning Learning: Newborn Life Support

“Newborn Life Support (NLS) provides a framework for managing newborn infants who need support at time of birth.”
— advice is based on local guidelines & procedures

What?

Delivering an infant is rare in most emergency departments, Newborn Life Support (NLS) provides a framework for managing newborn infants who need support around the time of birth.

Get help from the neonatal resuscitation team, then...

  1. Dry and warm the baby

  2. Asses for tone, breathing and heart rate

  3. Support breathing using air with 5 ventilations if required

  4. Consider pre-ductal SpO2

  5. If no improvement recheck ventilation

  6. If HR <60 bpm, commence chest compressions at a rate of 3:1

Why?

During delivery, the fetus experiences hypoxia for about 60 seconds during contractions. A small number of infants will require help with ventilation on delivery. Pathological problems can also result in hypoxia.

If hypoxia continues the fetus goes through primary apnoea, reverting to anaerobic metabolism, which can impair cardiac function.

Ventilation is usually all that is required in most cases, sometimes with a period of chest compressions.

Drugs are rarely required and often associated with poor outcomes.
Lightning Learning: Pelvic Inflammatory Disease (PID)

Lightning Learning: Pelvic Inflammatory Disease (PID)

Symptomatic Relief?

Symptomatic Relief?