It is 02: 08 a.m. on a frosty winter night.
The ambulance bay doors burst open, and paramedics rush in with a 39 + 1-week infant delivered just minutes earlier in the back of the vehicle.
The corridor is chilly; condensation gathers on the foil wrap around the baby. The monitor is still booting, and the oximeter probe keeps slipping off the damp skin.
The baby has no sustained cry, only a brief gasp followed by shallow irregular breathing.
On quick assessment, the heart rate is around 90 beats/min by stethoscope. Tone is reduced, though not completely floppy.
You ask for the T-piece and face mask while the team readies the suction, heater, and radiant warmer.
Your registrar glances at you:
“Do you want a few quick puffs or the long ones we do in theatre?”
Everyone waits for your instruction.
In this scenario, what initial inflation sequence should be delivered?