One Minute Can Mean a Lifetime

以下是媒体广泛流传的真实故事。两者都涉及到孩子一生的第一时刻的紧急情况……

在第一个故事中，主持人进行了积极的培训，以识别和管理劳动力和分娩紧急情况。在诊断出存在的危险因素的即时性后，工作人员进行了精心计划和排练的努力，避免了对孩子的伤害。令家庭的喜悦，出生是巨大的成功。

At a nearby facility a similar emergency occurred, but a different story was playing out. How the circumstances were diagnosed and addressed led to emergency interventions that proved fatal to the child and resulted in a $10.2 million award to the mother.

Worldwide each year, an estimated 814,000 neonatal deaths are related to intrapartum hypoxic events (i.e. “birth asphyxia”) in full-term infants.¹Of those that survive, many are left with neurological impairments.²

When a baby is born, he or she should begin breathing within the “Golden Minute,” their first 60 seconds outside of the womb. Most babies do begin breathing on their own. 10 million babies worldwide, however, will need assistance.³大约有10％的新生儿自行呼吸将对干燥，变暖，清除气道和刺激作出反应。而且，1％的非呼吸婴儿将需要先进的复苏方法，例如胸部压缩和药物。⁴

To the family, 1% means everything. That 1% stands in the way of the child’s survival, and increases the chance of brain damage even if he or she does survive. The mother who trusts that she will receive the best possible care expects that her providers have been fully prepared for the 1% risk.

One Minute: Too Short to Do Anything?

The “Golden Minute” refers to the first 60 seconds of an infant’s life. Within these limited seconds, the infant should begin breathing on his or her own, or interventions must be started.

Approximately 4,000,000 babies are born each year in the United States.⁶据估计，这些婴儿中有400,000名将需要帮助呼吸和/或阳性通风才能成功过渡到外牙外寿命。而且，多达12,000名婴儿将需要采用胸部压缩和心脏药物的高级复苏。⁷

In each case,steps taken to treat an infant must be precise and timely.

Perinatal asphyxia and extreme prematurity are two pregnancy complications that can necessitate complex resuscitation; however, only 60% of asphyxiated newborns can be predicted antepartum.⁹The remaining newborns are not identified until the “Golden Minute,” which is why it is critical to prepare.

为什么新生儿复苏程序®（NRP®）很重要

Due to the frequent need for resuscitation at birth, it is critical to have evidence-based care guidelines and to train for effective neonatal resuscitation.

确保卫生保健提供者保持直到date on advances in neonatal resuscitation, the American Heart Association (AHA) and American Academy of Pediatrics (AAP) jointly develop neonatal treatment guidelines for the United States. The Neonatal Resuscitation Program® (NRP®), which is developed by the American Academy of Pediatrics, translates theAAP/AHA Guidelines for Emergency Cardiovascular Care and Resuscitation of the Neonateinto an educational curriculum.

The curriculum developed by the AAP includes: eSim, skills practice, online exam, and simulation/debriefing. The blended learning approach helps to prepare healthcare professionals to facilitateeffective team-based care.

新生儿复苏失败的一些最常见原因包括：¹¹

• Failure to detect the need for resuscitation shortly after birth
• Failure to have a qualified, experienced medical professional close by after a birth with heightened risk factors
• Breakdowns in teamwork and communication
• 新生儿复苏技术不当

The NRP curriculum helps to increase a care team’s confidence and improve each member’s resuscitation and stabilization skills. Moreover, the curriculum specifically addresses communication and the decision-making processes that are essential in the first—and most important—60 seconds of a newborn’s life.

重现出生奇迹

Simulation plays a vital role in learning NRP. Simulation reinforces skills and knowledge integration; but, more importantly, it introduces human factors and a focus on patient safety into the scenario.

Team communications, interactions with the parents, and the inevitable feeling of uneasiness when a newborn is in distress can all be recreated during a simulation, lessening the stress level when faced with a critically ill newborn.

Simulation training also aids in the prevention of medical errors. Simulation training addresses preventable errors with continual systematic training, performance assessment, and refinement of practice as a team.¹³

一项研究发现，在实际临床环境中进行的原位模拟训练有助于显着减少新生儿复苏期间的危险事件数量。¹⁴Another study found that nurses were almost 40% more likely to challenge an incorrect dosage of epinephrine following simulation training.¹⁵

Following simulation training, care providers are likely to see an improvement in clinical decision-making, sharpened skills, and increased self-confidence all of which are critical during neonatal resuscitation.

A Happy Beginning

A skilled, confident, and cohesive care team can make all the difference in the first minute of a baby’s life. With neonatal resuscitation training, healthcare professionals are better equipped to recognize a newborn in distress and begin treatment within 60 seconds.

One minute can determine a life and a lifetime.

In keeping with our mission of helping save lives, Laerdal is committed to helping you provide the training that can prepare practitioners to manage every second of that minute. We want to help you ensure that every birth you touch, directly or indirectly, is a happy beginning.