- Birth
- Dry baby and perform initial check- assess tone, breathing and heart rate
- If gasping or not breathing- open airway, give five inflation breaths and consider oxygen and ECG monitoring
- Reassess- look for improvement and response in heart rate and chest movement during inflation
- If chest not moving- optimise airway control, repeat inflation breaths, give oxygen (if not given already), consider ECG monitoring (if not already doing so) and look for a response
- If no increase in heart rate at this point, re-assess for chest movement and repeat above steps if necessary
- When chest is moving- if heart rate <60 bpm, ventilate for 30 seconds
- At this point, reassess heart rate- if heart rate still <60 bpm, commence chest compressions at a rate of 3:1
- Continue this process, re-assessing every 30 seconds- if heart rate remains <60 bpm, consider venous or osseous access and administering drugs
- Throughout process: Keep the parents updated, and keep a record of time and timings of interventions