Newborn Resuscitation

Training the workforce

Spark of Life 2011

The logistics of Newborn Resusc

10% of all births

Varied practitioners

– Midwives

– Paed trainees

– GP Obs

– ED

Majority minimal intervention

99% successful

The logistics of Newborn Resusc

Teaching Hospital

– 3 – 5K deliveries

– Supervised trainees

– High expectation of

major resusc events

– Experienced back up

Rural setting

– 1- 200 deliveries

– Minimal staffing

– Low risk population

– Remote support

Australian

Bureau of

Statistics

2010 Population 22.35 m

Births 296,621

Pop 0.23m

Births 3,700

Pop 2.30m

Births 30,876

Pop 4.52m

Births 66,097

Pop 1.64m

Births 19,734

Pop 7.24m

Births 92,783

Pop 0.51m

Births 6,626

Pop 5.55m

Births 70,920

Pop 33,005

Births 530

Pop 44,333

Births 845

Pop 61,328

Births 863

Pop 55,604

Births 947

England & Wales

(to same scale)

England

& Wales

Western

Australia

Area Km2 151,174 2,645,615

Population 61.79 m 2.06 m

Density /Km2 388.7 0.8

Livebirths 790,000 30,876

Births / Km2 5.22 0.12

1 day interactive course

based on ILCOR

teaches teamwork

standardised approach

textbook

teaching material

now a requirement for all JMOs

Program for rural training

Day 1

– NRP course

Day 2

– The rest of neonatology

Advanced neonatal emergency care – NETS

Practical skills

Interactive scenarios

Create longevity

Aim to identify a lead in each centre

– on going liaison

– encourage local training frequent drills

provision of mannequins

– coordinate future courses

– support with equipment

Support with RCAs

Is this practical

No

– NRP too labour intensive to cover all staff

Alternative

– Two tier training

– NRP for leaders and high risk

– Abridged local course for others

?Format of abridged course

eLearning packages Attractive proposal

Directed self learning

Initial set up costs but long term benefits

Do they work in practice?

?Format of abridged course

eLearning packages Attractive proposal

Directed self learning

Initial set up costs but long term benefits

Do they work in practice?

Coupled with training/assessment

scenarios