PediaSuite Blog
Notes from the unit, not just the textbook.
Practical notes on neonatal resuscitation and the NRP 9th Edition exam: algorithm updates, emergency drug dosing, and high-yield corrective ventilation rules.
NRP 8th vs 9th Edition: every change that matters
A side-by-side comparison of the algorithm updates and which ones show up on the exam.
Read the comparison →Epinephrine in neonatal resuscitation: dose, route, timing
The 0.02 mg/kg rule, UVC versus IO access, and why "every 3 to 5 minutes" trips people up.
Read the guide →MR. SOPA: when the chest won't move
The corrective ventilation steps, broken down for clinicians troubleshooting ineffective mask ventilation mid-code.
Read the breakdown →Preductal SpO₂ targets by minute, and how to actually hit them
The minute-by-minute table, right-wrist probe rules, and practical oxygen titration at the warmer.
Read the guide →Laryngeal mask airway in newborns: when to skip straight to size 1
Why the 9th Edition elevated supraglottic airways to a primary PPV device and when to use them before intubating.
Read the guide →ETT sizing by grams and the tip-to-gum depth landmark
Gram-based tube sizing cutoffs, the upper midline gum measurement landmark, and depth calculation rules.
Read the guide →Neonatal volume expanders: dose, rate, and when epinephrine fails
The 10 mL/kg volume expander rule, crystalloid versus blood selection, and IVH risks in preterm infants.
Read the guide →Resuscitation under 32 weeks: thermal bundles, FiO₂ 30%, and CPAP from breath one
Stabilizing the extreme preterm infant: thermal wraps without drying, 30% starting oxygen, and gentle CPAP.
Read the guide →Therapeutic hypothermia: identifying hypoxic-ischemic encephalopathy at the warmer
The 35-week threshold, cord gas criteria, Sarnat staging, and the critical 6-hour therapeutic window.
Read the guide →Umbilical cord management: delayed clamping vs milking across gestational ages
The 60-second delayed clamping rule, intact cord milking in term infants, and why milking is forbidden under 28 weeks.
Read the guide →The Golden Minute: why the first 60 seconds matter
What has to happen by 60 seconds, and the recurring, avoidable reasons teams miss it.
Read the guide →UVC vs. IO access in neonatal resuscitation
When NRP prefers umbilical venous access, when intraosseous is the better call, and how to decide fast.
Read the guide →Neonatal chest compressions: the 3:1 ratio explained
Why NRP uses 3:1 instead of adult ratios, correct hand technique and depth, and common mistakes.
Read the guide →CPAP vs. PPV: when to escalate in the delivery room
CPAP and PPV solve different problems — the signs that mean it's time to move from one to the other.
Read the guide →Meconium-stained fluid: what changed, and why it still trips people up
Why routine tracheal suctioning was dropped, when it happened, and the current 9th Edition approach.
Read the guide →The S.T.A.B.L.E. program: what happens after resuscitation
Sugar, Temperature, Airway, Blood pressure, Lab work, Emotional support — and why it's a separate skill from NRP.
Read the guide →How to prepare for your NRP recertification in one week
A realistic 7-day plan for working clinicians studying between shifts, day by day.
Read the guide →Common NRP exam mistakes and how to avoid them
The recurring mistakes that trip up exam takers, and what to do instead.
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