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Monday 5 August 2013

Newborn Life Support

Having to perform NLS is rare, but is an easy exam scenario. The NLS course is a very useful one day course to attend. If you can't get on an NLS course, I'd recommend reading the NLS course manual - it has many useful pictures and tips. It is worth remembering that the N in NLS stands for "Newborn" and NOT "Neonatal". This means that if you have a poorly baby who is even six hours old, they are not a new born, so APLS guidelines should be used, not NLS.

If you look hard enough, there are quite a few neonatal life support resources.
The resus council protocol is here: Newborn Life Support.
The American Heart Association guidelines are here.

Life in the fast lane have a very useful (no pictures, so quick to load) summary here with the SMACC conference video on newborn resuscitation. AAFP also has guidelines here.  PedEMMorsels has a very matter of fact summary here. The anaesthetists have had their own update here. WikiEM also has a very thorough summary. Academic life in EM has some good videos, supplemented with pictures of stick men!

Make sure you know your hospital's protocols. Many hospitals have a seperate Neonatal resuscitation team, as well as the Paediatric resus team.
If you have a resuscitaire in your department, check that you know how to use it. If you don't have a resuscitaire, where is your nearest?





And if you were wondering - yes, you can use an LMA in new born resus - sanscrit and resus.me have the answers.

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