Section III Child CPR (Child is 1 – 12 years old)

The leading cause of death among infants and children is…  Unintentional injuries

These deaths include…  Motor vehicle- related injuries  Drowning  Fires and burns  Suffocation  Falls Children are more likely to have trouble breathing than heart problems.

If a child or infant is having trouble breathing, should the responder Call First or Care First?  Care First Provide 2 minutes of care, then call immediately

List some general safety rules to protect children.  Proper installation and use of car seats.  Have children in the back seat wear seat belts.  Always watch children in or near water.  Use gates for stairs or to block off rooms such as the kitchen.  Never keep guns loaded.  Keep plastic bags, cords and small objects stored safely.  Know the Poison Control Center’s number and call in emergencies. (NJ : )  Have a plan to deal with emergencies.

Moving an Infant or Child  Unnecessary movement is dangerous to a seriously injured child or infant.  Only move the victim if the scene is unsafe, you have to reach another victim, or to provide proper care.  If you must remove a child or infant from a car, leave them in the car seat.

Checking a Conscious Child  Same as Checking a Conscious Adult, but remember to get CONSENT.  If no guardian is present, consent is IMPLIED.  Ask questions of the child or of the parents of the child.  Position yourself at eye level.  Do not separate a child from a parent or guardian unless absolutely necessary.

Video Segment DVD: ARC Checking a Conscious Child

Checking an Unconscious Child  Get consent from the parent/guardian. If nobody is present, consent is IMPLIED.  Checking an unconscious child is the same as checking an adult with the exception of: After checking for breathing for 10 seconds and there is no breathing give 2 rescue breaths lasting 1 second each. Pinch the nose and make a seal over the child’s mouth.

Checking an Unconscious Child  Checking an Unconscious Child Checking an Unconscious Child Skill Test

Preventing Choking  Don’t leave small objects; buttons, coins and beads within reach.  Use a high chair when children eat.  Monitor speed of consumption.  Give soft, chewable, small portioned food.  Watch small toys that may be swallowed.

Video Segment a Conscious Choking ChildChecking a Conscious Choking Child

Helping a Conscious Choking Child  Check the scene, then the child.  Identify yourself, obtain consent from parent. If there is no parent, consent is implied.  Encourage child to continue coughing.  Call  Care for child.

Caring for a Conscious Choking Child a. Stand or kneel behind with one leg to the side of child for support. b. Lean child over and administer 5 back blows between the shoulder blades using the heal of your hand. c. Place thumb side of fist above child’s belly button. d. Grasp fist with other hand. e. Give 5 quick upward thrusts. f. Continue this cycle of 5 and 5…..

When do I stop back blows and abdominal thrusts?  Until the object is dislodged  The child can cough forcefully, speak or breathe  The child becomes unconscious  If the child becomes unconscious, perform the skill of unconscious choking child.  A choking victim may require a medical evaluation due to damage to the airway.

Video Segment CPRChild CPR

 Check the scene, then check the child.  Tap the child and shout.  Call If alone, provide 2 minutes of care first, then call.  Care for the victim.

Caring for a child in need of CPR a. Open Airway with head tilt and chin lift. b. Look, Listen and Feel for 10 seconds. c. Give 2 rescue breaths FIRST IF UNWITNESSED COLLAPSE (could be breathing emergency) e. Perform Chest Compressions FIRST IF WITNESSED COLLAPSE. - Locate proper hand position on the breastbone. - Position your shoulders over your hands and lock your elbows. - Compress the chest 30 times about 2 inches each time. - Push straight down. Compress at a rate of 100 per minute.

Keep repeating cycles of 30 compressions and 2 rescue breaths until an AED becomes available or EMS arrives and takes over.

Skill Testing Child CPR 6th Grader Performs CPR on Teacher

Video Segment Choking ChildUnconscious Choking Child

Helping an Unconscious Choking Child  If the chest does not rise when you attempt rescue breaths in an unconscious victim, the skill performed is very similar to CPR.  After compressions, lift the jaw and tongue and look for a foreign object.  Attempt rescue breaths. If breaths do not go in, continue the cycle of 30 compressions, look for object and breaths until the object is dislodged or breaths go in.  After object is dislodged, finger sweep it out and give 2 rescue breaths. If breaths go in….  Check for breathing for no more than 10 seconds.

Skill Testing Unconscious Choking Child