P2B056: “baby Box”: Neonatal Resuscitation Box with Asynchronous Training Improves Emergency Medicine Provider Preparedness for Precipitous Delivery

Purpose/Objectives: It is estimated that over 9000 infants are born outside of the hospital annually. Approximately 10% of newborns require some level of resuscitation postnatally. However, there is little published on the standards of equipment and provider readiness in the Emergency Department (ED). The goal of our project is to establish a portable neonatal resuscitation equipment box and improve physician readiness in the ED for precipitous deliveries.

Design/Methods: A neonatal resuscitation box, also known as the “Baby Box,” was created to consolidate resuscitation equipment necessary in an event of a precipitous delivery. We created a video to feature the contents of the Baby Box along with basic information on the Neonatal Resuscitation Program (NRP). A survey was distributed to emergency medicine (EM) residents and attendings, pediatric residents, and pediatric EM fellows and attendings at an inner-city, public hospital. A pre and post video survey was administered to assess provider confidence in neonatal resuscitation, equipment location, and NRP knowledge using a five-point Likert scale. Data was analyzed using paired sample t-test.

Results: Of the 80 respondents who opened the survey, 52 completed the entire survey and attested to watching the video. 65% of these were either EM or pediatric residents, 7% were EM fellows, and 28% were Pediatric EM or EM attendings. 44% of respondents had participated in a neonatal resuscitation at least once in the last year in the ED. Over 90% agreed the NRP was relevant to their job and 71% were confident in using the NRP. While 73% were confident in using provided supplies for resuscitation, only 38% were confident in their abilities to locate supplies in the ED. When the same questions were asked after watching the informational video introducing the Baby Box, 90% were confident in using provided supplies and 92% were confident in their abilities to locate supplies in the ED.

Paired t-tests were statistically significant at p< 0.01 when comparing confidence before and after the video intervention for using NRP, using equipment, locating equipment, and locating equipment within the ED. Only EM providers had a statistically significant increase in confidence with NRP when broken down by department. (Table 1)

Conclusion/Discussion: An ED-tailored portable neonatal resuscitation box, when paired with an asynchronous video training, increased preparedness for neonatal resuscitations and provider confidence for precipitous and ED deliveries.