Posted by Andy Jagoda MD in: What's Your Diagnosis , trackback
Welcome to this month’s What’s Your Diagnosis Challenge!
But before we begin, check to see if you got last month’s case on Management of Pediatric Head and Neck Infections in the Emergency Department right.
Case Presentation: Neonatal Resuscitation in the Emergency Department
A 30-year-old healthy pregnant woman at 40 weeks’ gestation presents to your community ED in labor. An infant is visibly crowning, and there is no obstetrician on site. As a medical team prepares to assist this precipitous delivery, what equipment should be prepared for the care of the neonate? What criteria would determine whether the infant can receive routine care?
In anticipation of delivery of the 30-year-old woman’s baby, the team prepared equipment according to the NRP checklist. The infant was delivered, vigorous and immediately crying. He appeared to be a full-term baby boy. He fulfilled all 3 requirements for routine care (term, tone, and breathing/crying). He was placed on his mother’s chest for skin-to-skin contact and covered with a warm, dry towel. The umbilical cord was clamped 1 minute after birth. As the team delivered the placenta, the well-baby nursery was called to arrange for transfer.