WEBVTT

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Now let's cover one rescuer CPR for the infant.  Remember that we're still checking for scene safety.

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This could be an abusive scenario if it's out of hospital where the baby is down because of shaken

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baby syndrome or other abuse.  So be  aware of that.  Also you never know what condition you're getting

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into maybe there's fumes, or gas, or carbon monoxide in the home.  If it's in hospital maybe not such

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a concern, but we need to be aware of our scene at all times.  That means gloves are on, CPR shield

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is available with a one-way valve to keep this baby's body fluids on it's side and away from the rescuer.

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A lot of times we forget that infants could contract a contagious disease at childbirth

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and they are not immune to that.  So we still need to be thinking about infectious diseases and protecting ourselves.

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Then we're going to assess the baby for responsiveness.  Baby, baby, are you alright?  Are you OK?

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There's no response and the baby does not appear to be breathing normally.  Maybe they're having

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gasping respirations or agonal respirations.  That's qualified as no respirations when the baby is not

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moving.  We do not see any movement or hear any response.  We are going to now activate the Emergency Medical

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services or call a code.  Though we are de-emphasising the importance of actually being able to

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feel a pulse in an unresponsive, non-breathing patient, as healthcare professionals, you are still allowed

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to check for a pulse up to 10 seconds.  I prefer to do so myself, practice makes perfect, but in

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checking the brachial artery, the brachial artery on the inside of the baby's arm between the bicep and

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the tricep on the inside of that little humorous bone, we're checking for a brachial pulse for up to

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10 seconds.  Checking with the middle finger and ring finger, ideally.  I do not feel a pulse, the

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baby is not breathing, not responding.  We're going to begin 30 chest compressions, at least 1/3 the

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depth of the full chest of the baby.  1 and 2 and 3 and 4 and 5.  Keep in mind that your two fingers

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are between the breasts on the sternum.  Downward thrusts at least 1/3 of the depth of the chest, at least

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100 compressions per minute or more.  After we do our 30 compressions, we're going to grab our mask with

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the one-way valve. Now I'm showing this purposely because this is the most common professional rescuer

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mask around.  Note that it's an adult size.  There are pediatric size, there are neonate size, there

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are smaller versions. There's harder seals and more marshmallow-like seals.  I prefer the marshmallow

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seal because it conforms to the baby's face and features better.  If you're using the adult size mask

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on an infant or smaller child, there's a technique in helping us to seal this.  You'll take the smaller

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part of the mask that normally covers the adult nose, and turn it upside down.  This is the part that

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will seal over the chin under the bottom lip.  Taking the other hand, seal over each side and each corner

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of the face and the forehead.  Bringing the baby's head into a neutral or "sniffing" position, we're

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now going to give 2 small breaths, enough to get chest rise and fall.  If we don't get a breath, resituate

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your mask, one breath goes in by chest rise and fall.  Another breath goes in by chest rise and fall.

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Reposition the fingers and start your compressions 30 times.  We're going to do these 30 compressions

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followed by 2 breaths as a single rescuer until an AED arrives or until the next level of emergency medical

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services or advanced life support arrive to take over.

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Baby, baby, are you alright, are you OK?  They don't appear to be breathing normally.  You! In the red shirt!

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Go call 911 or activate the emergency medical services or call a code and come back, I might need your help.

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Checking for a brachial pulse for no more than 10 seconds. I do not easily palpate a pulse

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and there seems to be no breathing, no moving.  Going into 30 chest compressions.  1 and 2 and 3 and

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4 and 5 and 6 and 7 and 8 and ...28, 29, 30.

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Inverted mask over the mouth, sealing the chin, forehead to sides.  One breath goes in,

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two breaths go in.  1 and 2 and 3 and 4 and 5...and back up to 30 again followed by 2 breaths.  I will

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stop doing CPR in order to put the AED in place or the emergency medical services arrive and I turn the care over to them.