Winter 2017 Publications Catalog Page 23 Books/eBooks

BOOKS/eBOOKS Order at shop.aap.org/books or call toll-free 888/227-1770. ALL PRICING AND SPECIFICATIONS IN THIS CATALOG ARE SUBJECT TO CHANGE WITHOUT NOTICE. 23 Pediatric Education for Prehospital Professionals, Revised Third Edition PEPP combines comprehensive medical content with dynamic features and an interactive course to fully prepare prehospital professionals to care for children in the field. Paperback, 2016-480 pages PP0035 Book ISBN 978-1-2841-3303-5 Price: $80.95 Member Price: $64.95 Guidelines for Air and Ground Transport of Neonatal and Pediatric Patients, 4th Edition American Academy of Pediatrics Section on Transport Medicine Paperback, 2015-488 pages MA0694 Book ISBN 978-1-58110-838-5 eBook ISBN 978-1-58110-979-5 Price: $59.95 Member Price: $47.95 Neonatal Resuscitation eBook Collection Available exclusively from the AAP! aapebooks.org A site license subscription gives your entire organization access to the essential Neonatal Resuscitation eBook Collection. To learn more about the Neonatal Resuscitation eBook Collection, please contact institutions@aap.org. NRP Reference Charts Quick, one-stop guide to neonatal resuscitation steps. Choose from 3 convenient formats. Wall Chart (22" x 34") Printed on flexible plastic with self-adhesive mounting strips. NRP325 ISBN 978-1-61002-028-2 Single unit price: $22.95 10 or more price each: $20.95 Code Cart Card (8" x 11") Self-adhesive strips ease on-cart mounting. NRP326 ISBN 978-1-61002-029-9 Single unit price: $6.95 NRP327 ISBN 978-1-61002-031-2 Pack of 5 price: $27.95 Pocket Card (4" x 6") Great take-along for students. NRP328 ISBN 978-1-61002-032-9 Single unit price: $4 NRP329 ISBN 978-1-61002-033-6 Pack of 10 price: $27.95 2016 American Academy of Pediatrics and American Heart Association NRP325 The recommendations in this publication do not indicate an exclusive course of treatment or serve as a standard of medical care. Variations, taking into account individual circumstances, may be appropriate. Neonatal Resuscitation Program - Reference Chart The most important and effective action in neonatal resuscitation is ventilation of the baby's lungs. Antenatal counseling. Team briefing and equipment check. Term? Tone? Breathing or crying? Apnea, gasping, or HR below 100 bpm? HR below 100 bpm? Check chest movement. Ventilation corrective steps if needed. ETT or laryngeal mask if needed. Intubate if not already done. Chest compressions. Coordinate with PPV. 100% O 2 . ECG monitor. IV epinephrine. If HR persistently below 60 bpm: consider hypovolemia, consider pneumothorax. HR below 60 bpm? PPV. Sp O 2 monitor. Consider ECG monitor. Position and clear airway. Sp O 2 monitor. Supplemental O 2 as needed. Consider CPAP. Post-resuscitation care. Team debriefing. Warm and maintain normal temperature, position airway, clear secretions if needed, dry, stimulate. Labored breathing or persistent cyanosis? Birth Stay with mother for routine care: Warm and maintain normal temperature, position airway, clear secretions if needed, dry, ongoing evaluation. No 1 minute No Yes Pre-ductal Sp O 2 Target 1 min 2 min 3 min 4 min 5 min 10 min 60%-65% 65%-70% 70%-75% 75%-80% 80%-85% 85%-95% A Airway Place head in "sniffing" position. Suction mouth, then nose. B Breathing If apneic, gasping, or HR <100 bpm, give PPV at 40-60 breaths/min. Listen for rising heart rate for first 15 seconds of PPV. If HR not rising and chest not moving with PPV, do MR. SOPA until chest moves with PPV for 30 seconds. Attach pulse oximeter; consider cardiac monitor. Intubate or place laryngeal mask and give PPV for 30 seconds prior to starting compressions. Use CO 2 detector after intubation or insertion of laryngeal mask. C Circulation Start compressions if HR is <60 bpm after 30 seconds of PPV with chest movement. Check HR every 60 seconds. Cardiac monitor is preferred method for assessing HR during CPR. Give 3 compressions: 1 breath every 2 seconds. Use 100% oxygen. Compress one-third of the anterior-posterior diameter of the chest. D Drugs Give epinephrine if HR is <60 bpm after 60 seconds of CPR. Caution: epinephrine dosage is different for ET and IV routes. MR. SOPA Corrective Steps M and R Mask adjustment, reposition airway S and O Suction mouth and nose, open mouth P Pressure increase A Alternative airway (ET tube or laryngeal mask) Endotracheal Intubation Gestational Age (weeks) Depth of Insertion at Lips (cm) Weight (g) ET Tube Size (ID, mm) 23-24 5.5 500-600 Size 2.5 <1,000 g or <28 weeks 25-26 6.0 700-800 27-29 6.5 900-1,000 Size 3.0 1,000-2,000 g or 28-34 weeks 30-32 7.0 1,100-1,400 33-34 7.5 1,500-1,800 Size 3.5 >2,000 g or >34 weeks 35-37 8.0 1,900-2,400 38-40 8.5 2,500-3,100 41-43 9.0 3,200-4,200 3.5-4.0 Shaded table adapted from Kempley ST, Moreira JW, Petrone FL. Endoracheal tube length for neonatal intubation. Resuscitation. 2008;77(3):369-373. Medications Used During or Following Resuscitation of the Newborn Medication Dosage/Route* Wt (kg) Total Volume (mL) Precautions Epinephrine 1:10,000 (0.1 mg/mL) 0.1 to 0.3 mL/kg Intravenous (preferred route) 1 2 3 4 0.1-0.3 0.2-0.6 0.3-0.9 0.4-1.2 Give rapidly; follow IV dose with 0.5-1 mL normal saline flush. Repeat every 3 to 5 minutes if HR <60 with chest compressions. After ET dose, may give IV epinephrine as soon as IV route is established. 0.5 to 1 mL/kg Endotracheal (acceptable until IV established) 1 2 3 4 0.5-1 1-2 1.5-3 2- 4 Volume expanders Normal saline O-negative PRBC 10 mL/kg IV 1 2 3 4 10 20 30 40 Not responding to steps of resuscitation and has signs of shock or history of acute blood loss. Give over 5 to 10 minutes. * Note: Endotracheal dose may not result in effective plasma concentration of drug, so vascular access should be established as soon as possible. Drugs given endotracheally require higher dosing than when given intravenously. dicate an e count indiv nd Americ R below bpm? chest m n correc needed ngeal m f not alr compre inate w 100% O CG mon epineph stently b er hypo er pneum elow 60 N es A Alternative airway (ET tube or laryngea ht t E ( 0 00 S < 0 00 0 000 0 S 1 ,4 40 00 ,8 80 00 S > ,4 40 00 ,1 10 00 ,2 20 00 3 ndo orach heal u ut tion ns a ap pidl ly; fo a al sali ine a at e eve ery 3 c co omp pres E ET T do ose, a as IV r rout es esp pon ndin a as s sig gns lo oss. . ov ve er 5 5 to oss sible e. Dru Neonatal Resuscitation Program - Reference Chart The most important and effective action in neonatal resuscitation is ventilation of the baby's lungs. Pre-ductal Sp Target 1 min 2 min 3 min 4 min 5 min 10 min 60%-65% 65%-70% 70%-75% 75%-80% 80%-85% 85%-95% A Airway Place head in "sniffing" position. Suction mouth, then nose. B Breathing If apneic, gasping, or HR <100 bpm, give PPV at 40-60 breaths/min. Listen for rising heart rate for first 15 seconds of PPV. If HR not rising and chest not moving with PPV, do MR. SOPA until chest moves with PPV for 30 seconds. Attach pulse oximeter; consider cardiac monitor. Intubate or place laryngeal mask and give PPV for 30 seconds prior to starting compressions. Use CO detector after intubation or insertion of laryngeal mask. C Circulation Start compressions if HR is <60 bpm after 30 seconds of PPV with chest movement. Check HR every 60 seconds. Cardiac monitor is preferred method for assessing HR during CPR. Give 3 compressions: 1 breath every 2 seconds. Use 100% oxygen. Compress one-third of the anterior-posterior diameter of the chest. D Drugs Give epinephrine if HR is <60 bpm after 60 seconds of CPR. Caution: epinephrine dosage is different for ET and IV routes. MR. SOPA Corrective Steps M and R Mask adjustment, reposition airway S and O Suction mouth and nose, open mouth P Pressure increase A Alternative airway (ET tube or laryngeal mask) Endotracheal Intubation Gestational Age (weeks) Depth of Insertion at Lips (cm) Weight (g) ET Tube Size (ID, mm) 23-24 5.5 500-600 Size 2.5 <1,000 g or <28 weeks 25-26 6.0 700-800 27-29 6.5 900-1,000 Size 3.0 1,000-2,000 g or 28-34 weeks 30-32 7.0 1,100-1,400 33-34 7.5 1,500-1,800 Size 3.5 >2,000 g or >34 weeks 35-37 8.0 1,900-2,400 38-40 8.5 2,500-3,100 41-43 9.0 3,200-4,200 3.5-4.0 Medications Used During or Following Resuscitation of the Newborn Medication Dosage/Route* Wt (kg) Total Volume (mL) Precautions Epinephrine 1:10,000 (0.1 mg/mL) 0.1 to 0.3 mL/kg Intravenous (preferred route) 1 2 3 4 0.1-0.3 0.2-0.6 0.3-0.9 0.4-1.2 Give rapidly; follow IV dose with 0.5-1 mL normal saline flush. Repeat every 3 to 5 minutes if HR <60 with chest compressions. After ET dose, may give IV epinephrine as soon as IV route is established. 0.5 to 1 mL/kg Endotracheal (acceptable until IV established) 1 2 3 4 0.5-1 1-2 1.5-3 2- 4 Volume expanders Normal saline O-negative PRBC 10 mL/kg IV 1 2 3 4 10 20 30 40 Not responding to steps of resuscitation and has signs of shock or history of acute blood loss. Give over 5 to 10 minutes. 9 781610 020299 90000> Pre-ductal Sp arget 1 min 2 min 3 min 4 min 5 min 10 min 60%-65% 65%-70% 70%-75% 75%-80% 80%-85% 85%-95% D Drugs GiveepinephrineifHR Give epinephrine if HR is <60 bpm after 60 s is <60 bp econd Caution: epinephrine d p p osage is differe fferent for ET an MR SOPACorrectiveS MR. SOPA Corrective Steps M and R Mask adjustment, ment, repo positi tion a airwa way S and O Suction mouth and d nose e, op open n mou uth P Pressure increase A Alternative airway ( (ET tu tube e or laryn ngeal m Endotracheal Intubation Gestational Age (weeks) Depth of Insertion at Lips (cm) We eigh ht (g) ETT (ID, 23-24 5.5 500 0-60 600 Size <1, 25-26 6.0 700 0-80 800 27-29 6.5 9 900- -1,0 000 Size 1,00 30-32 7.0 1,1 100 0-1, ,400 33-34 7.5 1,5 500 0-1, ,800 Size >2, 35-37 8.0 1,9 900 0-2, ,400 38-40 8.5 2,5 500 0-3, ,100 41-43 9.0 3,2 200 0-4, ,200 3.5- Medications Used During or Following Resuscitation of the Newborn Medication Dosage/Route* Wt (kg) Total Volume (m mL) Pr reca aution ns Epinephrine 1:10,000 (0.1 mg/mL) 0.1 to 0.3 mL/kg Intravenous (preferred route) 1 2 3 4 0.1-0.3 0.2-0.6 0.3-0.9 0.4-1.2 Gi ive r rapidl dly; follo no orm mal sal line flu Re Repe eat eve very 3 to ch hest t comp pressio Af fter r ET do ose, ma so oon as IV route i 0.5 to 1 mL/kg Endotracheal (acceptable until IV established) 1 2 3 4 0.5-1 1-2 1.5-3 2-4 Volume expanders Normal saline O-negative PRBC 10 mL/kg IV 1 2 3 4 10 20 30 40 No Not re respon nding t an nd h has sig gns of s bl lood d loss. . Gi ive o over 5 5 to 10 9 781610 0 Neonatal Resuscitation Program - Reference Chart The most important and effective action in neonatal resuscitation is ventilation of the baby's lungs. MR. SOPA Corrective Steps M and R Mask adjustment, reposition airway S and O Suction mouth and nose, open mouth P Pressure increase A Alternative airway (ET tube or laryngeal mask) Endotracheal Intubation Gestational Age (weeks) Depth of Insertion at Lips (cm) Weight (g) ET Tube Size (ID, mm) 23-24 5.5 500-600 Size 2.5 <1,000 g or <28 weeks 25-26 6.0 700-800 27-29 6.5 900-1,000 Size 3.0 1,000-2,000 g or 28-34 weeks 30-32 7.0 1,100-1,400 33-34 7.5 1,500-1,800 Size 3.5 >2,000 g or >34 weeks 35-37 8.0 1,900-2,400 38-40 8.5 2,500-3,100 41-43 9.0 3,200-4,200 3.5-4.0 NRP Key Behavioral Skills Poster Enhance trainee skills during simulation and debriefing. Review with your trainees the key behavioral skills that contribute to enhanced communication, teamwork, and resuscitation performance. Printed on flexible plastic with adhesive mounting. Size: 17" x 22" NRP330 ISBN 978-1-61002-034-3 Price: $22.95 NRP Equipment Poster Simulate a realistic delivery room setting during your NRP training courses with the all-new NRP Equipment Poster , featuring images of a manometer, oxygen blender, pulse oximeter, and more. Printed on canvas with self-adhesive mounting strips. Size: 22" x 24" NRP331 ISBN 978-1-61002-035-0 Price: $49.95 NRP Pin NRP332 NRP334 Pack of 25 price: $49.95 Single pin price: $6 APLS: The Pediatric Emergency Medicine Resource, 5th Edition Produced through collaboration between the American Academy of Pediatrics and American College of Emergency Physicians This comprehensive reference on pediatric emergency medicine is a full-color teaching and learning system for physicians, students, residents, nurses, and APLS course directors and instructors. ENGLISH NEW SPANISH EDITION! Hardcover, 2011-535 pages Hardcover, 2016-535 pages MA0623 MA0810 ISBN 978-1-44963-777-4 ISBN 978-1-28404-970-1 Price: $119.95 Member Price: $95.95 Price: $110.95 Member Price: $88.95 1 Neonatal Resuscitation Program Key Behavioral Skills Know your environment. Use available information. Anticipate and plan. Clearly identify a team leader. Communicate effectively. Delegate the workload optimally. Allocate attention wisely. Use available resources wisely. Call for additional help when needed. Maintain professional behavior. 2 3 4 5 6 7 8 9 10 NEONATAL RESUSCITATION PROGRAM "This is an important resource for transport teamsthere are no comparable books." -Doody's Book Reviews

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