vii Preface Being entrusted by parents to provide care for their newly born baby is both a privilege and an extraordinary responsibility. Since the first edition of the Textbook of Neonatal Resuscitation, the Neonatal Resuscitation Program® (NRP®) has helped more than 3 million health care providers fulfill this responsibility by providing the opportunity to acquire the knowledge and skills required to save newborn lives. The history and evolution of the NRP is fascinating and provides important lessons for health educators. A brief description is available on the NRP Web site and is well worth reading. Although the 7th edition includes several new recommendations, it emphasizes the same guiding principles that have been the foundation of the NRP for nearly 30 years. The original NRP textbook, published in 1987, was based on current practice, rational conjecture, and an informal consensus among experts. Beginning in 2000, the recommendations in the NRP textbook have been developed using a formal international consensus process. The American Academy of Pediatrics (AAP) and American Heart Association (AHA) partner in the evaluation of resuscitation science through the International Liaison Committee on Resuscitation (ILCOR). Researchers from the ILCOR Neonatal Task Force meet at regular intervals to review the science relevant to neonatal resuscitation. In a rigorous process, questions reflecting key knowledge gaps are identified, information scientists perform extensive literature searches, Neonatal Task Force members complete systematic reviews, the quality of scientific evidence is graded, and draft summary statements are prepared and published online for public comment. Finally, the members of the Task Force meet and discuss the summaries until a consensus on science is reached and treatment recommendations are formulated. The most recent statement, called the 2015 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations (CoSTR), is based on a review of 27 neonatal resuscitation questions evaluated by 38 task force members representing 13 countries. After the meeting, each ILCOR member organization develops clinical guidelines based on the CoSTR document. Although ILCOR members are committed to minimizing international differences, each organization’s guidelines may vary based on geographic, economic, and logistic differences. The most recent guidelines for the United States are called the Neonatal NRP-FM_i-xii.indd 7 4/1/16 12:54 PM
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