STATEMENT OF THE PROBLEM Severely injured trauma victims are at high risk of development of the multiple organ dysfunction syndrome (MODS) or death. To maximize chances for survival, treatment priorities must focus on resuscitation from shock (defined as inadequate tissue oxygenation to meet tissue O2 requirements), including appropriate fluid resuscitation and rapid hemostasis. Inadequate tiss...

(This section is meant for residents to check their understanding regarding a particular topic) QUESTIONS 1. In which circumstances is resuscitation required in a neonate? 2. What are the clinical parameters of initiating resuscitation in the newborn? 3. What are the steps and sequence in re-suscitation? 4. What is " initial assessment " ? 5. What factors are critical for successful resuscitati...

BACKGROUND Competency in neonatal resuscitation is critical in the delivery rooms, neonatology units and pediatrics intensive care units to ensure the safety and health of neonates. Each year, millions of babies do not breathe immediately at birth, and among them the majority require basic neonatal resuscitation. Perinatal asphyxia is a major contributor to neonatal deaths worldwide in resource...

BACKGROUND Neonatal deaths account for over 40% of all under-5 year deaths; their reduction is increasingly critical for achieving Millennium Development Goal 4. An estimated 3 million newborns die annually during their first month of life; half of these deaths occur during delivery or within 24 hours. Every year, 6 million babies require help to breathe immediately after birth. Resuscitation t...

Me Me M di di dic ca cal l Un Un Univ iv iver er e si si sity ty ty G G Gra ra raz, z, G G Gra ra raz, z, z A A Aus us str tr tria ia ia Abstract Background—Guidelines on neonatal resuscitation recommend 90 chest compressions (CC) and

A newborn who receives a placental transfusion at birth, either from cord milking or delayed cord clamping, obtains about 30% more blood volume than the newborn whose cord is cut immediately. Receiving an adequate blood volume from placental transfusion at birth may be protective for the distressed neonate as it prevents hypovolemia and can support optimal perfusion to all organs. New research ...

Mortality among children under 5 years of age in developing countries has fallen dramatically in recent decades. Unfortunately, declines in neonatal mortality during this period have been less impressive. Neonatal mortality now accounts for >40% of under-5 mortality.1 About onequarter of neonatal deaths result from intrapartum-related conditions and their consequences (eg, birth asphyxia), 2 wi...

BackgroundCardiopulmonary resuscitation (CPR) in the delivery room (DR) after birth is rare. We hypothesized that factors related to maternal, delivery, infant and event characteristics associated with outcomes could be identified. also there would substantial variation from Neonatal Resuscitation Program (NRP) algorithm.MethodsRetrospective review of all neonates receiving chest compressions D...

Background: Neonatal resuscitation (NR) is a means to restore life of baby from the state asphyxia. It singlemost important intervention for neonates with birth Resuscitation in more challenging than thatof an adult or even older infant child. Poor techniques can contribute poor outcome neonateswith Nurses being front-liners receive newborn babies, level knowledge about NR amongthem affect thes...

OBJECTIVE To evaluate the association of intrapartum magnesium sulfate for fetal neuroprotection (MgSO4-FN) with the delivery room resuscitation and neonatal outcomes of preterm infants in an era of minimisation of invasive mechanical ventilation. DESIGN Retrospective cohort study. SETTING Neonatal intensive care units in the Canadian Neonatal Network. PATIENTS AND INTERVENTION Preterm in...