In this episode of ACEP Frontline, Dr. Ryan Stanton is joined by Dr. Tricia Swan at Symposium by the Sea in Amelia Island, Florida to discuss updates in the ninth edition of the Neonatal Resuscitation Program and the growing impact of maternity care deserts on emergency medicine. She reviews key changes in newborn resuscitation, including cord management, oxygen use, and ventilation strategies, while highlighting how emergency physicians and EMS clinicians can prepare for the increasing number of unplanned deliveries occurring outside traditional obstetric settings.