Some main points
- Compared to ACLS, NRP focuses on hypothermia prevention & effective ventilation (bilateral chest sounds and movements) in newborn.
- Avoid hypothermia by placing the baby in radiant warmer or using plastic wrap.
- Always try to reposition the baby’s head and adjust the mask (to have a good seal) if baby is not improving (still gasping or HR <100). Intubation should be the last thing you think in newborn resuscitation.
For summary on the update in 2015 AHA guideline for CPR and ECC: