Abstract
In this retrospective analysis, the Newborn Life Support (NLS) test scenario performance of participants of the Dutch Neonatal Advanced Life Support (NALS) course was assessed. Characteristics of participants and total amount of failures were collected. Failures were subdivided in (1) errors of omission; (2) errors of commission; and (3) unspecified if data was missing. Pearson’s chi-squared test was used to assess differences between participant groups. In total, 23 out of 86 participants (27%) failed their NLS test scenario. Life support course instructors in general (20/21) passed their test scenario more often compared to other participants (43/65) (p = 0.008). In total 110 fail items were recorded; the most common errors being not assessing heart rate (error of omission) (n = 47) and inadequate performance of airway management (error of commission) (n = 24).Conclusion: A substantial part of NALS participants failed their NLS test scenario. Errors of omission could be reduced by the availability of a checklist/NLS algorithm. Life support course instructors possibly make less errors of commission due to retention of skills by teaching these skills at least twice a year. Therefore, our study suggests that neonatal basic life support skills should be retained by local assurance of training programmes.What is Known:• Retention of skills after life support courses decreases after three months.• Adherence to newborn life support guidelines is suboptimal.What is New:• NLS performance is suboptimal in participants for advanced neonatal life support.• Most common failures are not assessing heart rate and inadequate airway management.
Highlights
Errors of omission could be reduced by the availability of a checklist/Newborn Life Support® (NLS) algorithm
Retention of skills after life support courses decreases after three months
NLS performance is suboptimal in participants for advanced neonatal life support
Summary
The 1-day Newborn Life Support® (NLS) course, developed by the European Resuscitation Council, has been available in The Netherlands since 2003 for all health care professionals involved in the delivery of newborns. While scenarios in the NLS course consist of the format of one physician working with a non-obstructive nurse, in real life CRM skills are essential in (neonatal) emergency care To fulfill this need, the Dutch Foundation for the Emergency Medical Care of Children (Stichting Spoedeisende Hulp bij Kinderen—SHK) recently developed the 2-day Neonatal Advanced Life Support® (NALS) course. The Dutch Foundation for the Emergency Medical Care of Children (Stichting Spoedeisende Hulp bij Kinderen—SHK) recently developed the 2-day Neonatal Advanced Life Support® (NALS) course This course offers additional theoretical education and skill training regarding airway management, more complex simulations beyond the context of the delivery room, and CRM skills, as compared to the NLS course. It merely focuses on basic and alternative airway manoeuvres (Fig. 1)
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