When every second counts, preparation isn't optional, it's lifesaving, especially for newborns. In this episode of In the Heart of Care, we explore the critical "firsts" that define neonatal resuscitation. Mariah Snyder, a neonate nurse, shares her experience responding to a high-stakes neonatal code, illustrating how preparation, steady teamwork, and hands-on training can make all the difference in critical moments. Her story reflects the power of clinical readiness when seconds matter most. Dr. Chris Cooper, a neonatal nurse practitioner and educator, and Dr. Nathan Sundgren, a neonatologist specializing in advanced neonatal care and simulation-based training, break down the evolution of neonatal resuscitation guidelines.