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A 16 year old girl arrives to the ED by ambulance and promptly delivers a 34 weeks by dates neonate. The infant is unresponsive, apneic, and you cannot palpate a pulse. After initial steps of drying, warming, and stimulating, the baby is still apneic with a heart rate < 100. You initiate positive pressure ventilation for 15 seconds but still do not hear the heart rate rising. Which of the following is not a part of the MR SOPA ventilation corrective steps recommended to try next?
Kelly November 2, 2021 - 8:01 pm
D) Increase oxygen FiO2 to 100%
NRP differs from PALS in its emphasis on respiratory support and maximizing ventilation before moving to chest compressions or medications. PPV is initiated within the first minute of resuscitation if the HR is < 100 or the neonate is apneic or has ineffective breaths. If the HR is not improving with PPV, the resuscitator should look for adequate chest movement and initiate the MR SOPA steps: Mask adjustment, Reposition airway, Suction, Open mouth, Pressure increase, Advanced airway.