Get certified in Healthcare BLS for just $59.95.
To view this video please enable JavaScript, and consider upgrading to a web browser that supports HTML5 video
Now we're going to cover one rescuer infant CPR for the healthcare professional. Our scene is safe, our gloves are on, our CPR shield is available with a one-way valve. Now we're going to place one hand on the forehead as we tap and try to stimulate the patient. They do not respond to our taps and shouts. They're unresponsive, and they're not breathing normally. If we are in a situation where we still need to activate EMS, we're going to call 911 and then we're going to begin our treatment. If you're in a hospital or clinical setting, it may be now time to call a code. So, now as we check for that breathing, to see if they're breathing normally, we're also going to feel to a brachial pulse for no more than 10 seconds. We check for that brachial pulse by reaching on the inside of the bicep between the tricep and the bicep on the inside of the arm. We do not feel a pulse and there is no normal breathing. We're gonna draw an imaginary line across the nipples, and we’re going to wrap our fingers around the rib cage and place our two thumbs in the center of the chest. When we do our compressions, it's important to remember that the depth is going to be approximately one-third of the depth of the chest, and the rate is going to be between 100 and 120 compressions per minute. It'll look like this. 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30. We grab our appropriate sized CPR shield with a one-way valve. Let's talk about CPR shields, or in this case rescue masks, for a moment. A rescue mask comes in a couple different sizes, whereas a rescue shield is usually a flat piece of plastic with a valve of some sort that's one way. Here, you've got something that can work with a bag valve mask well. We see these more often in health care settings. Notice that on this side I have an infant size and on this one I have an adult. If at all possible, have the appropriate size for the size of the patient. I have an infant lying here, I have an infant pocket mask so I'm going to use that size appropriately. We're going to cover the nose and the mouth, bring the child's head into a neutral or sniffing position. Sniffing position is when we're - do you smell that apple pie baking? It's just a slight upturn of the nose. It's not a full head tilt chin lift, it's just a nice neutral position. We're going to attempt two rescue breaths. First breath went in. Second breath went in. We know that because we saw a chest rise and fall. With minimization of delay between rescue breaths and chest compressions, we begin our second set of 30 compressions. Now, we're going to do this 30 compressions to 2 rescue breaths, and we're not going to stop until we're ready to defibrillate.
Infant-related cardiac arrests are typically the result of:
Just as with child CPR, due to the nature of these occurrences, providing proper ventilation and oxygenation will be vital for a successful resuscitation.
After making sure the scene is safe, that your gloves are on, and that you have your rescue mask with a one-way valve, begin calling out to the victim to assess whether or not the infant is responsive.
Are you OK? Baby baby, can you hear me?
If you don't get an initial response, place your hand on his or her forehead and tap on the bottom of the baby's feet. If you still do not get a response, proceed with the following steps.
Pro Tip #1: It's important to have a properly sized rescue mask. In other words, one that fits the size of the victim's face.
Performing proper chest compressions is essential for providing high-quality CPR, which greatly improves the patient's chances for a successful outcome.
Chest compressions increase the pressure on the heart to simulate a contraction. This helps to send oxygenated blood through the arteries to the brain and other vital organs.
Chest compressions also increase the likelihood of a successful AED shock for the patient, particularly if several minutes have elapsed since the patient collapsed or suffered an incident leading to respiratory distress.
Chest compression effectiveness is reduced if:
Warning: Compression rates that exceed 120 per minute tend to have a negative impact on compression depth, perhaps due to responders rushing through them. Regardless, if the compression rate exceeds 120 per minute, you are less likely to compress the full 1/3 of the chest for infants and children, thereby reducing the effectiveness of CPR.
If you are unsure if you're compressing at the correct depth, a feedback device might be helpful.