This series of videos takes viewers through a human factors approach to the management of neonatal emergencies. This video addresses the unanticipated neonatal emergency. The concept is to allow teams to get a multidisciplinary team capable of advanced neonatal life support through escalation so that they can manage the situation. The basic principles of thermoregulation, airway, breathing, and circulation apply to all neonatal emergencies. Certain situations require specialist teams, equipment and specific management. Where possible such situations are managed as anticipated emergencies. Some situations will not allow for preparation time and planning. These are unanticipated emergencies. The aims of the videos in this series are to provide neonatal teams with strategies to improve their approach to neonatal emergencies. The focus is on standardising
1. Preparation
2. Escalation * for Help
3. Teamwork
4. Communication
5. Leadership
6. Equipment management
7. Management of systems
8. Management of specific conditions diagnosed antenatally or postnatally
9. Use of Checklists
Medicine is constantly evolving as are procedural skills training, technology involved and methodology. The intention of this training video is to provide an example of how this procedure might be performed. Viewers of this video are advised to review the most up-to-date recommendations on neonatal resuscitation as practised locally. Please also note there are differences between neonatal, paediatric, and adult practice with regards to the management of certain conditions. This video does not intend to address or bridge the nuances and differences between practice in the specialities mentioned. There must be mutual respect for different methods of practice that satisfy norms but may be different and within acceptable norms of practice. It is also recommended that viewers are up-to-date with the most current evidence for human factors practice in neonatal resuscitation at delivery and in neonatal emergencies. Local protocols should be followed where applicable. This video is for educational use only and is a method of practice. Watching this video does not confer skills or competencies in any procedure nor does it purport to make local systems safer. This video is copyright and intended by the use of a trained facilitator as part of the MPROvE programme for the purposes of education and simulated practice. Use by any other individual and institute is at there clinical discretion and responsibility. This video has been produced and edited by Dr Alok Sharma. Parental consent has been obtained for all the images and videos used in making this MPROvE video.
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