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NRP 9th Edition · Interactive Algorithm

The 18-Step Neonatal Resuscitation Algorithm

Tap any box in the flowchart to see the assessment questions and clinical actions for that step. This is the same decision tree you will follow on exam day.

PRE-BIRTH
Antenatal Counseling · Team Briefing · Equipment Check
Birth
Initiate Cord Management Plan
 EVALUATION
Term? Tone? Breathing?
 Yes No ROUTINE CARE
Skin-to-skin contact Maintain temp · Ongoing evaluation
INITIAL STEPS
Warm · Position · Clear airway if needed Dry & stimulate
1 minute EVALUATION
Apnea or gasping? HR < 100 bpm?
Yes No EVALUATION
Labored breathing or persistent cyanosis?
Yes SOPORTE RESPIRATORIO
O2 for target SpO2 or CPAP
VENTILATION
Initiate PPV 30-60/min · PEEP 5 · Pulse Ox · ECG Monitor
EVALUATION
HR < 100 bpm?
 Yes No POST-RESUCITACIÓN
Parent communication Team debriefing
PASOS CORRECTIVOS
Ventilation Corrective Steps (MR. SOPA) Consider ETT or Laryngeal Mask · ECG Monitor
EVALUATION
HR < 60 bpm?
 Yes No CRITICAL: HR < 60
Insert ETT or Laryngeal Mask Chest Compressions 3:1 100% O2 · UVC or IO Access
ETT EVALUATION
HR < 60 bpm?
 Yes No MEDICATIONS
Epinephrine IV/IO (0.02 mg/kg) Every 3-5 min · UVC or IO If HR persistent <60: consider hypovolemia or pneumothorax

Tap any box above to see its details

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