You are working as a solo Paramedic on an RRV when you are dispatched to a maternity call. Control updates you that there is a midwife on scene of a home delivery, but there are ongoing complications. EA backup is on route, 15-minutes away.
You arrive at scene and walk into the property with a mixture of kit and paediatric bag. You see the midwife with the patient, and she’s holding a new-born in her arms. The child is blue and not responding. The midwife explains that the baby has just been born, but mum has a significant haemorrhage, and the child is not responding. She passes you the child while she states she will sort out mum.
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Holding the new-born, they are blue and unresponsive. You note the time of handover and take the child to the nearby table where there are towels, and an area was setup by the midwife. What are your first actions
You stimulate and dry the new-born with the warm towels and then place it on the matted area of the table, ensuring to keep it wrapped up and warm. There is no response from the child, and you quickly assess airway, breathing, and heart rate. The airway is clear, there is no effort of breathing, and you make out a slow heart rate. What are your next actions
You attempt 5 inflation ventilations. How long should each ventilation be to help inflate the lungs
You note little to no chest rise with the ventilations as you struggle to get a good seal. Can you move onto the next phase of support failing the initial 5 rescue breaths
You attempt a second time with some padding under the child’s shoulders, but this is no good. Are you able to move up the stepwise airway approach in a new-born
You insert an OPA and attempt 5 inflation breaths again. This time, you get a good seal and can see rise and fall of the chest. You reassess but there is no change in the child’s condition. What is the next step
Following 30 seconds of ventilation, you reassess the patient. You auscultate the heart rate and note it at 40 bpm. Below what heart rate should you start chest compressions in the unresponsive new-born, following the actions already conducted
You have your BVM attached to 100% O2 and start 3:1 chest compressions and ventilations on the patient. How often should you assess the heart rate and chest movement
Around 5 minutes have passed since you initially took over care of the child. They are still floppy, not breathing, blue in colour, have a heart rate of 40 bpm, and are unresponsive. What APGAR score does this give the patient
You update control of the situation, and they advise the EA is only 5 minutes from scene. As a solo responder, what must you continue doing for the patient