Dear >=tor ?och:

Eo I not rws.ber you as 837 outstanay, student in the anesthesia

elective?

IdeaPy, I think the order of ~BTEOW assLbm: the score is 1)

a pe&.a:sicia;n (hardly mer present for the actual doliverg) , 2)
aneathesiolo~ist or nume anesthetist (if there is one), 3) ClSCulatIxig
nurse, These nurseo are cweUR~t;, with mch qcrieree a.d no personal
invclvmierit with that particular b *.

%e at thbg for msigninr; the sore is 60 sacondsafter both

head a~.c feet are visible.  03 COZ~T~~ if res.-imitation is obviously
needed, as with a nmpulsating ;relapsed cord, one does not wait, at
all, let &one 60 seconds, to stzrt ventilation.  %he most convenient
way 'co keep track of the 60 secoancis is to have a mall shelf hilt,
on to which is screwed an automtic +&&e setter,  Fave it set for 55
secmds. The nurse scats the tu as soon eu; both #e top of the
hecc?. md soles of the feet are visible.  Fiftpfive secands later a
bell goes off. The sore can be decided in 5 secox~&, ard recorded.
A11 babies with ecores of 4 or under need cartYicial ventilation in
qy opinion.

;>nly a few need endotracheCd tubZ at Sloane.

If you ham other questions, please lot xe know,

Lest wlshe~.