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When should the guidelines from NRP to PALS be used?

There is currently no evidence to identify a specific age after birth when babies[JZ1] in the NICU should receive chest compressions following PALS guidelines. The two algorithms differ in approach. At birth and during the first weeks following birth, respiratory failure is still the cause of most cardiopulmonary arrest. In general, where differences exist between NRP and PALS recommendations, you should apply the NRP recommendations during the immediate newborn period and the initial hospitalization following birth. 

(February 2022)

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