Assessment and management of the newborn is a very rapid sequence of events. Unlike adult resuscitation, where the goal is to "restore" the breathing and perfusion that they once had, the goal of resuscitating a newborn is to "initiate" effective breathing and perfusion. It is of paramount importance for prehospital care providers to be prepared to handle these critical cases in an expedient manner. The vast majority of newborns breathe spontaneously at delivery or very shortly thereafter, with little intervention required by EMS; however, EMS providers should always be mentally and physically prepared to assist a struggling newborn.