Newborn poor transition — DipIMC MCQ
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Correct answer: A — Open the airway and give five inflation breaths using room air
Open the airway and give five inflation breaths using room air is the best answer because newborn resuscitation prioritises lung aeration with initial inflation breaths when breathing is inadequate. Transport without treating the identified time-critical problem is less appropriate because movement alone may not reverse the immediate physiology; Wait for imaging before intervening is less appropriate because imaging is not available or appropriate before treating a clinical life threat. Perform a full secondary survey before treating the abnormality and Delay intervention until arrival at hospital are also suboptimal because they move attention away from the key pre-hospital priority.. The key DipIMC principle is to treat immediate reversible threats, communicate clearly and move the patient toward the right definitive care.
Reference: Resuscitation Council UK Guidelines; JRCALC Guidelines