1. Add name of trust / organisation in box 1 and name of trainer in box 2. Delete THIS box. For staff with direct patient contact who work with children and infants

2. What you will learn in this session 1.Relevant national guidelines, trust policies & procedures 2.Assessing an infant and or child who has collapsed 3.How to call for help 4.Effective airway management 5.Effective rescue breathing 6.Effective chest compressions 7.How to place an unconscious, breathing infant and or child casualty in the recovery position 8.The importance of a team approach and your role 9.Reporting and handover procedures

3. Why is this important?  Children are more likely to have a respiratory arrest than a cardiac arrest  Quick, basic life support for 1 minute can save lives  Good technique increases the chances of survival.  Rescuers’ fear of doing harm means some children receive no resuscitation

4. Sources of information about paediatric basic life support  Resuscitation Council (UK)  European Resuscitation Council  [Add local resources here] Add local information from line 3, then delete THIS box.

5. Paediatric basic life support  CHILD IS UNRESPONSIVE  Open airway  Not breathing normally?  5 rescue breaths  No signs of life  15 chest compressions  2 rescue breaths: 15 chest compressions

6. Paediatric basic life support  Infant – post birth to 1 year  Child – 1 year to post puberty  If you think it is a child, it is a child!

7. Approach safely  Approach with care  Check out the scene  Is it safe for you to approach?  Is the victim safe?  Are all bystanders safe?

8. Check response  Gently stimulate the child (age appropriate)  Do not shake infants and children  Ask loudly “Are you all right?”  If they don’t respond: SHOUT FOR HELP!

9. Child’s head “sniffing the air” Infant’s head in neutral position Head tilt, chin lift - opens the airway

10. Check breathing  Look for chest movement  Listen for breath sounds  Feel for air on your cheek  for maximum of 10 seconds  If in doubt assume not breathing

11. 5 rescue breaths Infant:Mouth to mouth and nose Child:Mouth to mouth Slow breaths at low pressure to achieve normal chest movement

12. Circulation  Signs of life/pulse?  If checking for pulse – take no more than 10 seconds  Child:Feel for carotid pulse in the neck  Infant:Feel for brachial pulse, inner aspect upper arm  If in doubt, or heart rate is less than 60, start chest compressions

13. Chest compressions  Locate the lower half of the sternum:  For infants:Use 2 fingers or 2 thumbs  For children:Use 1 or both hands  Depress the sternum by at least 1/3 the depth of the chest:  Don’t be afraid to push too hard  Release the pressure completely, then repeat at a rate of 100-120/min  After 15 compressions, give two rescue breaths  Continue compressions and breaths in a ratio of 15:2 for one minute

14. Calling for help if not breathing normally  [insert relevant team/service and contact number….]  Ask someone else to call  Use your mobile if you’re on your own  Only leave the victim if there is NO OTHER OPTION Add local information then delete THIS box.

15. What to say  Call [TRAINER - insert relevant number, 999 or …..]  State the nature of the emergency. eg; “collapsed child”  State the exact location  [Ask for an automated external defibrillator (AED) if one is available. TRAINER - CHANGE TO BLACK, AMEND OR DELETE AS APPROPRIATE] Add local information then delete THIS box.

16. Continue resuscitation until:  The child shows signs of life:  Coughing  Opening eyes  Speaking  Moving purposefully  Breathing normally  Further qualified help arrives.  DON’T STOP unless you absolutely have to

17. The recovery position If the victim starts to breath normally

18. Choking

19. Managing the choking child or infant  Careful finger sweep  Inspection under direct vision  Back blows / chest thrusts  Abdominal thrusts  Commence basic life support if child/infant becomes unresponsive

20. Choking for an infant (up to 1 year)  Give the baby back blows  Remove any obstructions  Give the baby chest thrusts  Repeat the procedure  Keep the baby with you when you go or call for expert assistance

21. After each, check for and remove obstructions Get help if the blockage can not be removed Choking for a child (1-7 years)  5 back blows - Lean the child forwards; stand or kneel behind the child and slap between the shoulders  5 abdominal thrusts - stand behind the child, hold a fist against the abdomen and press sharply inwards

22. Insert trainer’s name, telephone number and email. Delete THIS box THANK YOU Any Questions? Insert trainer’s name, telephone number and email here