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Thermoregulation failure: restore the warm chain

Educational use only. Not clinically reviewed

0-year-old girl for thermal-risk recognition, qualified rewarming-boundary review, reassessment, and active-risk handoff practice. About 7 simulated minutes.

What you will practise

  • Activate newborn thermal, glucose, feeding, and family support.
  • Connect gestation, admission temperature, environment, trajectory, physiology, and the whole dyad.
  • Recognize unintentional neonatal hypothermia requiring qualified rewarming without rate, cause, or diagnosis closure.
  • Review qualified rewarming, monitoring, glucose, feeding, cause, and hyperthermia-prevention boundaries.
  • Review the fixed 45-minute qualified-team report.
  • Hand off temperature, glucose, feeding, infection, neurologic, family, and outcome risk.

Review and sources

Not clinically reviewed. No clinician has signed this scenario.

  • American Heart Association and American Academy of Pediatrics. Part 5: Neonatal Resuscitation: 2025 Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Pediatrics. 2026;157(1):e2025074352.
  • World Health Organization. Thermal protection of the newborn: a practical guide. WHO_RHT_MSM_97.2. 1997.

Every scenario in this module

Open Sim Lab is an educational simulator, not for clinical use. It is not a clinical decision-support tool, not a dosing calculator, and is not validated for any decision affecting a real patient.