nrp-assist-2.0 app for iPhone and iPad

The NRP Assist app is an iOS app designed based on the NRP algorithm 8th edition from 2021 [1]. It assists the NRP provider during resuscitation by giving audio and tactile alerts at appropriate times, based on timers that start at various points along neonatal resuscitation. Thus, it helps them keep track of time during the resuscitation. It reminds the NRP providers to calculate APGARs in real time at 1, 5, 10, 15 and 20 minutes. It also provides the NRP providers with the minor details during resuscitation and displays the goal saturations on the screen, as per the expected SpO2 at various minutes of life. Thus, it makes it easy to assess the goal saturations for the NRP providers. It also makes calculation of epinephrine dose easy, based on the Estimated Fetal Weight (EFW) that is entered on the app before beginning resuscitation. The events for that session will be stored on the phone or iPad being used, thus helping with real-time documentation of events. This final report can be saved as a pdf document or shared with others using email or WhatsApp.
Please note that this application is exclusively designed to aid certified NRP (Neonatal Resuscitation Program) providers during resuscitation scenarios and is not intended for use by the general population. Presently, the application is specifically designed to be utilized exclusively within the context of NRP simulation training and is not intended for real-life emergencies. It should not be used outside the context of simulation training. However, it is essential to emphasize that this app is not a substitute for comprehensive medical training or certification in resuscitation techniques. Users must not rely on this app as their sole source of knowledge. Its role is to complement and supplement proper medical training, rather than to replace it.



Evidence:
1. Textbook of Neonatal Resuscitation 8th edition
Edited by: Gary M. Weiner, MD, FAAP, Jeanette Zaichkin, RN, MN, NNP-BC
DOI: https://doi.org/10.1542/9781610025256
Link: https://publications.aap.org/aapbooks/book/694/Textbook-of-Neonatal-Resuscitation?autologincheck=redirected
2. Maya-Enero S, Botet-Mussons F, Figueras-Aloy J, Izquierdo-Renau M, Thió M, Iriondo-Sanz M. Adherence to the neonatal resuscitation algorithm for preterm infants in a tertiary hospital in Spain. BMC Pediatr. 2018 Oct 9;18(1):319. doi: 10.1186/s12887-018-1288-3. PMID: 30301452; PMCID: PMC6178255.
3. Bahr N, Huynh TK, Lambert W, Guise JM. Characterization of teamwork and guideline compliance in prehospital neonatal resuscitation simulations. Resusc Plus. 2022 May 18;10:100248. doi: 10.1016/j.resplu.2022.100248. PMID: 35607396; PMCID: PMC9123265.
4. Patel J, Posencheg M, Ades A. Proficiency and retention of neonatal resuscitation skills by pediatric residents. Pediatrics 2012;130:515–521.
5. Kaczorowski J, Levitt C, Hammond M, Outerbridge E, Grad R, Rothman A, et al. Retention of neonatal resuscitation skills and knowledge: a randomized controlled trial. Fam Med 1998;30:705–711.
6. Cusack J, Fawke J. Neonatal resuscitation: are your trainees performing as you think they are? A retrospective review of a structured resuscitation assessment for neonatal medical trainees over an 8-year period. Arch Dis Child Fetal Neonatal Ed 2012;97:F246–F248.