Neonatal Resuscitation Decision (NRP) — free guideline decision tool
The Neonatal Resuscitation Program (NRP) algorithm decides the next step at birth from heart rate and the resuscitation phase, escalating from positive-pressure ventilation to chest compressions to epinephrine.
Open guideline tool →Guideline-based
Implements the decision logic from published clinical guidelines.
Runs in your browser
No installation. Enter the patient's values and get a guideline recommendation instantly.
Data stays local
Nothing is uploaded. Results are for licensed clinicians only.
Common questions
What does Neonatal Resuscitation Decision (NRP) do?
Use at delivery when a newborn is depressed, to identify the correct next intervention based on heart rate and what has already been done.
How is the result calculated?
Heart-rate driven: HR < 100 or apnea/gasping → PPV; HR < 60 after 30 s of effective PPV → chest compressions (3:1, 120 events/min) + 100% O₂ + advanced airway; HR still < 60 after 60 s of compressions + ventilation → epinephrine (IV/IO 0.01–0.03 mg/kg) q3–5 min.
Is this a substitute for clinical judgement?
No. All results are decision-support only, for licensed clinicians. They must be individualized to the whole patient and the latest guideline version.
Run Neonatal Resuscitation Decision (NRP) now
The Neonatal Resuscitation Program (NRP) algorithm decides the next step at birth from heart rate and the resuscitation phase, escalating from positive-pressure ventilation to chest compressions to epinephrine.
Open guideline tool →For licensed clinicians. Not a substitute for clinical judgement.