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Date | Time | Title | Content |
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Day 1 | 9:00–10:00 am | Highlighting the principles of newborn resuscitation in the class room | Introducing the 2005 American Heart Association (AHA) Guidelines for Cardiopulmonary Resuscitation (CPR) and Emergency Cardiovascular Care (ECC) of Pediatric and Neonatal Patients: Pediatric Basic Life Support by senior anesthetist (for all 51 students) |
10:00–11:00 am | Indications of neonatal resuscitation in theory class room | Delivering the theoretical aspects about the indications of neonatal resuscitation such as asphyxia, meconium stained, and APGAR score with power point by one of the trainers (for all 51 students) |
11:00–12:00 am | Evaluation of newborns for resuscitation in the class room | Power point presentation about the necessary systems and its signs for evaluation of a newborn for resuscitation for all 51 students |
2:00–5:00 pm | Necessary equipment and medications for neonatal resuscitations (theory class room) | Necessary equipment like Ambu-bag, facemask, laryngeal mask airway, tracheal tubes, etc., and medications like adrenaline, hydrocortisone, bicarbonate, etc., were presented by the trainer for all 51 students |
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Day 2 | 9:00–10:00 am | Initial steps of neonatal resuscitation (class room) | The correct order of resuscitation like providing warmth, giving the right position, clearing the airway, drying the baby, and stimulating breathing was described |
10:00–11:00 am | Principles of chest compression to ventilation in theory class room | A brief description of indications of compression, procedures, necessary devices, contraindications and indications of ventilation (mechanical or assisted), and compression/ventilation ratio |
11:00–12:00 am | Techniques of stimulation and handling of newborns (theory class room) | Holding aloft and buttock stimulation are not recommended during resuscitation (brief description of principles of stimulation by trainers for all 51 participants) |
2:00–5:00 pm | Endotracheal intubation and Ambu-bag usage | The indications, devices, procedures, and contradictions of intubation and principles of Ambu-bagging are well presented by the trainers for all 51 students/participants |
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Day 3 | 9:00–10:00 am | Neonatal resuscitation evaluation (hands-on simulation) at skill laboratory | All 51 students were participated in evaluation of neonatal resuscitation (rapid evaluation) in 2 stations |
10:00–11:00 am | Neonatal resuscitation (hands-on simulation) at skill laboratory | Divided into 2 groups for 1 and 2 in 2 stations, each group had 1 trainer and 5–6 students, giving the scenario training followed by initial step to intubation |
11:00–12:00 am | Use of resuscitation devices (hands-on simulation) at skill laboratory | The indication for starting mechanical ventilation, initial breaths, assisted ventilation, and end-expiratory pressure |
2:00–5:00 pm | Techniques of Ambu-bagging | All students divided into 2 like A and B and did Ambu-bagging following the trainer in each station (station 1 and 2) |
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Day 4 | 9:00–10:00 am | Chest compression (hands-on simulation) | The indications, devices, procedures, and contradictions of chest compression and the trainer showed to the students the technique |
10:00 am–5:00 pm | Ambu-bagging technique and effectiveness (hands-on simulation) at skill laboratory | The trainers in each station showed the technique to the students |
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Day 5–17 | From 9:00 am–5:00 pm | Hands-on simulation with manikins in skill laboratory by themselves | Students divided into 2 two groups; 5 or 6 each with one senior anesthetist (trainer) and assigned into 2 stations and practice each step necessary for neonatal resuscitation under supervision |
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