GotoAID - CPR – INFANT / BABY (Age <1 year)

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CPR – INFANT / BABY (Age <1 year)

CPR is a lifesaving, emergency procedure that is performed on infants suffering cardiac arrest. The purpose of CPR is to provide a continuous flow of oxygen to the lungs and brain until the person regains consciousness.

Symptoms

No Pulse	No Response
No HeartBeat	Unconscious

Steps

Check for situational danger (i.e. oncoming cars, exposed electrical wires, attacker still present etc), maintain your own safety.

Check for a response from the infant by gently shaking them or pinching their foot if necessary. If there is no response call, for help. If bystander present, dial 911, otherwise proceed with steps.

Lay infant on their back, check the child’s airway, making sure there is no obstruction (i.e. swallowed object, vomit, mucus).

If an obstruction is present, open mouth by grasping tongue and lower jaw between thumb and fingers, and lifting and sweep index finger (hooking motion) deeply into mouth at base of tongue to remove foreign body from throat – this is known as a finger sweep.

Check for breathing by LOOKING for rise and fall of chest, LISTENING to sounds of breathing, FEELING for breath on your hand or cheek, for 3-5 seconds.

Open the airway by lifting chin but maintaining the head in slightly FLEXED (chin toward chest). DO NOT tilt the head too far back as this would obstruct the airway instead.

If the infant is NOT breathing give 2 small gentle rescue breaths. CAUTION, only use a small puff of air (about “cheekful”) so as not to damage their delicate lungs. Cover the baby's mouth and nose with your mouth. Each breath should be 1 second long. You should see the infant's chest rise with each breath.

If spontaneous breathing does not commence after rescue breaths, check for a pulse.

Pulse in infants can be most easily felt in the groin. Remove nappies/diaper and use 2-3 fingers to feel about ½ way along the crease of the groin.

If no pulse is felt or you are unsure, start chest compressions.

Use 2 or 3 fingers in the center of the chest just below the nipples. Press down approximately one-third the depth of the chest. Give 15 compressions and 2 rescue breaths. Repeat for 4 cycles (1 min) and check for pulse.

After 1 minute of repeated cycles call 911 and continue giving breaths and compressions.

If the infant starts breathing spontaneously or regains consciousness, make sure to still take them to the nearest emergency room to have them checked out.

Warnings

DO NOT move the child if you suspect spinal injuries

DO NOT begin chest compressions if a strong pulse can be felt

Tips

If you have help, tell one person to call 911 while another person begins CPR.

If you are alone, shout loudly for help and begin CPR. After doing CPR for about 2 minutes, if no help has arrived, call 911. You may carry the infant with you to the nearest phone (unless you suspect spinal injury).

Remember the steps with “DR ABC” D – Danger R – Response A – Airway B – Breathing C - Circulation

READ THIS

Suggestions

CPR – Adult

CPR – Child

CPR – INFANT / BABY (Age <1 year)