EMR - Childbirth & Neonatal Resuscitation Procedures

the skill scenario is a collaborative effort you will be working as an ems team of two rescuer one first on scene will do the assessment rescuer two second on scene will be delegated tasks such as vitals and treatment by rescuer one during the scenarios rescuers shall wear appropriate ppe and use all equipment to take vitals and perform procedures the scenario will conclude with the patient report to higher medical authority you may now check your equipment childbirth and neonatal resuscitation scenario you respond to the report of an adult female giving birth in the bathroom when you arrive on scene the mother is holding her newborn i have my bsi on is my scene safe you're inside the bathrooms and the scene is safe how many patients do i have you have two patients the mother just gave birth there's no mechanism of injury or nature of illness at the moment i'm gonna go ahead and request additional resources resources are on route what is the general impression of my patient she's holding her newborn the mother looks worried based on this presentation i will say that the patient is in mild to moderate distress as i approach my patient does she look up at me the patient sees you hi hi man my name is francis i'm an emc i'm here to help um what is your first and last name emily when's your date of birth july 1st 99. can we look at your child can i assess him all right while i assess the child you go ahead and cut the umbilical cord okay so i'm assessing the child's appearance breathing and circulation uh what are my findings the newborn has a weak cry central cyanosis with a heart rate of 80 and is not moving okay so this child needs to be ventilated can you hand me the infant bvm i'm going to ventilate the infant for 30 seconds on room air and then reassess it's been 30 seconds i'm going to reassess the baby's appearance breathing and circulation and what are my findings the newborn has a strong cry peripheral cyanosis with a heart rate of 120 and is moving good so the infant is now stable i'm going to prepare the infant to hand off back to the mom here we go i'm going to assess the mom's airway her airway is patent since she's able to speak to me clearly i'm going to assess the mom's breathing rate and tidal volume is it adequate it is adequate i'm also going to assess the mom's heart rate and quality and skin signs and what are my findings the patient has a palpable radial pulse with the normal heart rate skin signs are normal at this point we're gonna go ahead and take some vitals you go and take blood pressure i'll get pulse ox i get one of your fingers i have vitals when you're ready your patient's blood pressure is 140 over 80 heart rate is 110 respiration rate is 20 o2 saturation is at 98 percent skin is pink warm and sweaty paramedics arrive on scene so we arrived on scene to find a mother gave birth inside the bathroom we assessed the child and found that the appearance breathing in circulation was inadequate so we went ahead and ventilated the child for 30 seconds on room air via bvm once we reassess the child we found that the vitals were in normal ranges at this point the mother has not delivered the placenta yet but both patients are ready for transport okay you

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Length: 4min 44sec (284 seconds)

Published: Thu Mar 31 2022