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Author: Erik Verzemnieks, MD Educational Pearls: In the panic of a precipitous ED delivery, remember: Warm. Dry. Stim. It will solve most of your problems in most scenarios Start compressions if heart rate is less than 60 Put the pulse ox on the right hand - it may make a difference as it is preductal Editor's note: detecting a heart rate can be tough in a newborn - you can feel the umbilical stump or just listen with your stethoscope References Gary Weiner & Jeanette Zaichkin. Textbook of Neonatal Resuscitation (NRP) , 7th Ed, 2016. American Academy of Pediatrics & American Heart Association.