Section IV (Birth – 1 year) Infant CPR

What is SIDS? Sudden Infant Death Syndrome is the sudden, unexpected and unexplained death of a seemingly healthy infant. Infants who sleep on their stomach have an increase risk of SIDS. 3rd leading cause of death for infants between 1 mo. – 1 yr. Usually occurs when infant is sleeping.

To help reduce the risk of SIDS: Always place an infant on his/her back while sleeping. Make sure there is no soft bedding, pillows, blankets, stuffed animals in crib that could cause suffocation.

Checking a Conscious Infant Gather information on your own. Ask questions of child or parents of infant. Obtain consent. DVD ARC Video: Checking a Conscious Infant

Checking an Unconscious Infant

Checking an Unconscious Infant Check the scene for safety, then check the victim. Flick the foot or tap the shoulder. Get consent. Have someone call 9-1-1. If you are alone, provide 2 minutes of care, then call or bring the infant to the phone with you.

Care for the infant a. If the infant is face-down, carefully position on back while supporting head, neck and back. b. Open the Airway. Look, Listen and Feel for breathing and movement for no more than 10 seconds. (If the infant shows signs of life, leave the infant on their back).

If no signs of life, give 2 rescue breaths by covering the nose and mouth. Each breath should last about 1 second and make the chest rise clearly. If breathing, leave infant on his/her back and monitor ABCs.   DO NOT PLACE AN INFANT IN THE RECOVERY POSITION BECAUSE OF THE RISK OF SUDDEN INFANT DEATH SYNDROME (SIDS).

Checking an Unconscious Infant Skill Test

Conscious Choking Infant

Helping a Conscious Choking Infant Check the scene, then the infant. Identify yourself and get consent if a parent is present. If no one is present, consent is implied. If infant is coughing, allow to continue. If infant is not coughing, call 9-1-1. (If you are alone provide 1 minute of care or try to bring the infant to the phone with you).

Caring for the choking infant Hold the infant’s head with both hands, supporting the body between your forearms. Turn the infant face-down along your forearm, keeping your hands in place. Give 5 back blows between the shoulder blades with the heel of the hand. Turn the infant face-up along your forearm, supporting the head, neck and back as you do so. Imagine a line drawn between the infant’s nipples. Place two fingertips on the center of the infant’s chest just below this line. Compress the chest 5 times, 1 ½ inch each time.

Repeat cycles of back blows and chest thrusts until… The object is coughed up. The infant starts to breathe or cough forcefully. The infant becomes unconscious. EMS personnel or another trained person takes over.

Conscious Choking Infant Skill Test

http://Infant CPR http://Putting it all together – Infant

Infant CPR Check the scene, then the infant. Tap the infant on the shoulder or flick the foot and shout. Call 9-1-1. (If alone provide 2 minutes of care or try to bring the infant to the phone with you). Care for the infant.

Caring for an infant in need of CPR Open the airway. Look, Listen and Feel for breathing for no more than 10 seconds. If infant is not breathing and does not show signs of life give 2 rescue breaths. Seal your lips tightly over the infant’s mouth and nose. Begin CPR

Infant CPR (cont.) Position infant face-up on a firm, flat level surface. Imagine a line drawn between the infant’s nipples. Place two fingertips on the center of the infant’s chest just below this line. Place the other hand on the infant’s head to maintain an open airway. Push straight down. Compress the chest about 1 ½ inches at a rate of 100 compressions per minute. Release the pressure between compressions while maintaining contact with the chest with your fingers.

Assuming that the infant is unconscious, not breathing and shows no signs of life… Start a cycle of 30 compressions and 2 rescue breaths. Continue cycles of compressions and rescue breaths for about 2 minutes. (total 5 cycles) Recheck for signs of life for no more than 10 seconds. If there are still no signs, continue CPR.

http://Rescue 911 Infant CPR Clip Skill Test http://Rescue 911 Infant CPR Clip Test

Unconscious Choking Infant

Helping an Unconscious Choking Infant Check the scene, then check the infant. Tap the infant on the shoulder or flick the foot and shout. Call 9-1-1. (If you are alone provide 2 minutes of care or bring the infant to the phone with you). Care for the infant.

Caring for an unconscious choking infant Assume the infant is unconscious and the breaths you attempted did not go in. Reposition the airway and re-attempt 2 rescue breaths. Position the infant face-up on a firm, flat and level surface. Locate proper finger position on the breastbone. Compress the chest 30 times about 1 ½ inch each time. Lift jaw and tongue and look for a foreign object. If you see it, remove it with your little finger. Head tilt and chin lift and give 2 rescue breaths. If breaths does not go in, continue sequence of chest compressions, foreign object look/removal and 2 rescue breaths until object is removed or breaths go in.

Unconscious Choking Infant Skill Test