Pediatric cardiac arrest is a rare event outside of hospital settings. In the hospital, where children with serious morbidities need specialized care, it is more common. Prompt resuscitation can prove life-saving, transforming a condition that would almost inevitably be fatal into a minor trauma. But as the COVID pandemic ravages the world, pediatric resuscitation practices are changing.

Almost all children become infected with the respiratory syncytial virus (RSV) by the age of 2. For neonates and immunocompromised babies, however, this can be a life-threatening disease. The unique airways of very young babies can compromise their ability to clear airway secretions, increasing the risk of serious complications. Deep suctioning can reduce their discomfort—and in some cases—even save their lives. Here’s what you need to know. 

Routine suctioning at birth has been the standard of care for newborns for decades. But recent evidence calls this practice into question, and many hospitals are moving away from it. But this doesn’t mean that suctioning is obsolete. Newborns in respiratory distress, those with low Apgar scores, and those struggling with the transition from fetus to newborn may still need bulb suctioning, or occasionally, suctioning with a machine. Here are five things you need to know about suctioning newborns. 

Pediatric intubation is the nightmare scenario for every parent. Yet the procedure remains common, thanks in part to differences in children’s airway anatomy that make them more vulnerable to respiratory distress. Your agency must offer regular training on pediatric intubation because the pediatric airway is smaller, more difficult to access, and more vulnerable to injury. Knowledge is no substitute for lived experience, so take every opportunity to practice pediatric intubation. Here’s a quick overview of the process.

It’s a scary moment for even the most experienced first responder. The baby has been delivered in the hospital parking lot and isn’t breathing. Or a newborn’s parents call, sobbing, and report that their baby is in respiratory distress. Caring for babies facing respiratory emergencies is emotionally and physically challenging work. That’s because babies’ airways are much smaller than adults’, and the stakes are very high. A respiratory injury to a baby in respiratory distress can prove catastrophic. Here’s what you need to know to provide exceptional care to your most vulnerable patients.

It's three a.m. and you have just been dispatched to a "pediatric difficulty breathing." As you rub the sleep from your eyes, you perform a quick mental review of PALS protocol, just in case. Perhaps the child simply has a cold, and the parent has panicked. It happens all the time. But perhaps it's something more serious. You had better be ready for anything.