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

当婴儿出生时，他或她应该在“金分钟”内开始呼吸，这是他们在子宫外的头60秒。大多数婴儿的确开始呼吸。但是，全球1000万婴儿将需要帮助。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.

一分钟：太短了，无法做什么？

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.

美国每年大约有400万婴儿出生。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

在每种情况下，为治疗婴儿采取的步骤必须精确，及时。

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.

为了确保医疗保健提供者对新生儿复苏的进步保持最新状态，美国心脏协会（AHA）和美国儿科学会（AAP）共同制定了美国的新生儿治疗指南。由美国儿科学会开发的新生儿复苏程序®（NRP®）翻译AAP/AHA紧急心血管护理和新生儿复苏的指南进入教育课程。

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 facilitate有效的基于团队的护理。

新生儿复苏失败的一些最常见原因包括：¹¹

• 未能在出生后不久发现复苏的需求
• 未能在出生后与危险因素更高的合格，经验丰富的医疗专业人员接近
• 团队合作和沟通中的细分
• 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

模拟在学习NRP中起着至关重要的作用。模拟增强了技能和知识整合；但是，更重要的是，它引入了人为因素，并将重点放在病人的情况下。

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。¹⁴另一项研究发现，在模拟训练后，护士挑战肾上腺素剂量不正确的可能性几乎高40％。¹⁵

经过模拟培训，护理提供者可能会看到临床决策，技能提高和自信心的提高，在新生儿复苏期间所有这些都至关重要。

一个快乐的开始

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.

一分钟可以决定生活和生命。

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.