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Neonatal resuscitation and assessment of cardiovascular status
  1. P J Davis1,
  2. P A Cairns2
  1. 1Paediatric Intensive Care Unit, Bristol Royal Hospital for Children, Bristol, UK
  2. 2Peter Dunn Intensive Care Nursery, St Michael’s Hospital, Bristol, UK
  1. Correspondence to:
    Dr Davis
    Consultant Paediatric Intensivist, Paediatric Intensive Care Unit, Bristol Royal Hospital for Children, Upper Maudlin Street, Bristol BS2 8BJ, UK;

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Following a recent case involving a neonatal resuscitation performed by general paediatricians, it has become apparent that the instructions for assessing circulation in neonates during resuscitation at birth contained within the Advanced paediatric life support (APLS) course and manual1 are not explicit, and do not highlight the differences between neonatal and paediatric resuscitation practices.

Assessment of circulation in paediatric life support involves checking the pulse, usually at the brachial or femoral artery. The International Liaison Committee on Resuscitation (ILCOR) advisory statement on resuscitation of the newly born infant2 states …

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  • Competing interests: none declared