is there a pulse? if no, start compressions.
can you ventilate with mask? if yes and sats holding, attempt IV access. in this situation IO line may be faster.
drugs - atropine 0.1mg/kg IM (min dose 0.1mg) immediately.
tube 3.0 uncuffed, miller 00.
i suppose when intubated and stable attempt to minimize FiO2.
There are few difficult tasks to be performed - the IV access....
I think that the main access is obtained through umbilical vein catheterization.
Now they are coming possible questions for the oral exam but also some clinical "pearls"...
UVC - single lumen versus double lumen.
UVC - size... What size you will choose?
UV anatomy.
Technique for placement.
Type of solution that are suitable for infusion.
Let's say that the catheter is placed - you start fluid infusion and suddenly the blood pressure drops...What is part of the DD (think to the catheter position)?
Regarding the IO access - does it work? If you guys have any experience please share.
Second - airway...
Multiple attempts by others made vizualisation impossible.
ETT 3 is to big - 2.5 could work.
There is no LMA for this age.
Fiberoptic successful but with ett#3 - doesn't pass though... 2.5 ett to small to fit on fiberoptic.
What now? Retrograde intubation in neonate? And if you tried in the past - please share again...
On a personal note I tried in the past ultrasound identification of trachea in morbidly obese patients. Never tried in a kid and as you imagine in a neonate.