Newborn Life Support Scenario

Holding the new-born, they are blue and unresponsive. You note the time of birth (this was a full term birth) and you initially treat between the mothers legs.. What are your first actions

You stimulate and dry the new-born with the warm towels and then place it on a heated mat with hat on, ensuring to keep the newborn wrapped up and warm. It has been just over a minute from birth. 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. Is it advisable to cut the cord at this point to start resuscitation even if the cord is not white and hasn’t stopped pulsating?

You cut the cord so you can start resuscitation efforts. What are your next actions?

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 and consciously realign the newborns head into a neutral position, 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 so you can no move on in your algorithm. 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