Precipitous Labor & Neonatal Resuscitation

This scenario starts in the emergency department. There is an obviously pregnant mom who is screaming in pain. The OB/GYN cannot arrive at the hospital in time, even if they are paged. Delivery becomes imminent, and the mom gives birth to a baby with a poor tone and low heart rate. The scenario fades from the imminent delivery to a baby warmer. If the learner follows proper NRP–first PPV, then intubation, then chest compressions and epinephrine–the baby recovers. If the learner fails to follow these steps, then the baby becomes pulseless and does not recover.

Learning Objectives

– Learner recognizes the absence of spontaneous respirations, following commands, and a 0/4 Train of Four
– Learner verbalizes suspected PchE deficiency
– Learner turns anesthesia gas back on and increases ventilator control settings
– Learner recognizes the signs that the patient is ready to be extubated
– Extubates based on the American Society of Anesthesiology Extubation Criteria

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MINIMUM:

OS: Windows 10
Processor: Intel Core i5-2300 | AMD FX-4350
Memory: 4 GB RAM
Graphics: Nvidia GeForce GTX 2060
DirectX: Version 11
Storage: 12 GB available space

RECOMMENDED:

OS: Windows 10
Processor: Intel Core i7-2300 | AMD FX-4350
Memory: 8 GB RAM
Graphics: Nvidia GeForce GTX 3060
DirectX: Version 11
Storage: 12 GB available space