WEBVTT 1 00:00:02.011 --> 00:00:08.051 Now let's cover one rescuer CPR for the infant. Remember that we're still checking for scene safety. 2 00:00:08.051 --> 00:00:13.040 This could be an abusive scenario if it's out of hospital where the baby is down because of shaken 3 00:00:13.040 --> 00:00:19.008 baby syndrome or other abuse. So be aware of that. Also you never know what condition you're getting 4 00:00:19.008 --> 00:00:24.022 into maybe there's fumes, or gas, or carbon monoxide in the home. If it's in hospital maybe not such 5 00:00:24.022 --> 00:00:30.077 a concern, but we need to be aware of our scene at all times. That means gloves are on, CPR shield 6 00:00:30.077 --> 00:00:37.077 is available with a one-way valve to keep this baby's body fluids on it's side and away from the rescuer. 7 00:00:37.077 --> 00:00:44.092 A lot of times we forget that infants could contract a contagious disease at childbirth 8 00:00:44.092 --> 00:00:51.003 and they are not immune to that. So we still need to be thinking about infectious diseases and protecting ourselves. 9 00:00:51.003 --> 00:00:56.052 Then we're going to assess the baby for responsiveness. Baby, baby, are you alright? Are you OK? 10 00:00:56.052 --> 00:01:02.065 There's no response and the baby does not appear to be breathing normally. Maybe they're having 11 00:01:02.065 --> 00:01:08.020 gasping respirations or agonal respirations. That's qualified as no respirations when the baby is not 12 00:01:08.020 --> 00:01:15.008 moving. We do not see any movement or hear any response. We are going to now activate the Emergency Medical 13 00:01:15.008 --> 00:01:22.032 services or call a code. Though we are de-emphasising the importance of actually being able to 14 00:01:22.032 --> 00:01:29.005 feel a pulse in an unresponsive, non-breathing patient, as healthcare professionals, you are still allowed 15 00:01:29.005 --> 00:01:35.067 to check for a pulse up to 10 seconds. I prefer to do so myself, practice makes perfect, but in 16 00:01:35.067 --> 00:01:42.001 checking the brachial artery, the brachial artery on the inside of the baby's arm between the bicep and 17 00:01:42.001 --> 00:01:46.063 the tricep on the inside of that little humorous bone, we're checking for a brachial pulse for up to 18 00:01:46.063 --> 00:01:54.033 10 seconds. Checking with the middle finger and ring finger, ideally. I do not feel a pulse, the 19 00:01:54.033 --> 00:02:01.077 baby is not breathing, not responding. We're going to begin 30 chest compressions, at least 1/3 the 20 00:02:01.077 --> 00:02:08.084 depth of the full chest of the baby. 1 and 2 and 3 and 4 and 5. Keep in mind that your two fingers 21 00:02:08.084 --> 00:02:17.068 are between the breasts on the sternum. Downward thrusts at least 1/3 of the depth of the chest, at least 22 00:02:17.068 --> 00:02:27.098 100 compressions per minute or more. After we do our 30 compressions, we're going to grab our mask with 23 00:02:27.098 --> 00:02:34.035 the one-way valve. Now I'm showing this purposely because this is the most common professional rescuer 24 00:02:34.035 --> 00:02:40.048 mask around. Note that it's an adult size. There are pediatric size, there are neonate size, there 25 00:02:40.048 --> 00:02:47.065 are smaller versions. There's harder seals and more marshmallow-like seals. I prefer the marshmallow 26 00:02:47.065 --> 00:02:54.042 seal because it conforms to the baby's face and features better. If you're using the adult size mask 27 00:02:54.042 --> 00:03:02.032 on an infant or smaller child, there's a technique in helping us to seal this. You'll take the smaller 28 00:03:02.032 --> 00:03:10.009 part of the mask that normally covers the adult nose, and turn it upside down. This is the part that 29 00:03:10.009 --> 00:03:19.079 will seal over the chin under the bottom lip. Taking the other hand, seal over each side and each corner 30 00:03:19.079 --> 00:03:26.078 of the face and the forehead. Bringing the baby's head into a neutral or "sniffing" position, we're 31 00:03:26.078 --> 00:03:34.003 now going to give 2 small breaths, enough to get chest rise and fall. If we don't get a breath, resituate 32 00:03:34.003 --> 00:03:43.031 your mask, one breath goes in by chest rise and fall. Another breath goes in by chest rise and fall. 33 00:03:43.031 --> 00:03:49.069 Reposition the fingers and start your compressions 30 times. We're going to do these 30 compressions 34 00:03:49.069 --> 00:03:57.043 followed by 2 breaths as a single rescuer until an AED arrives or until the next level of emergency medical 35 00:03:57.043 --> 00:04:00.000 services or advanced life support arrive to take over. 36 00:04:03.033 --> 00:04:08.007 Baby, baby, are you alright, are you OK? They don't appear to be breathing normally. You! In the red shirt! 37 00:04:08.007 --> 00:04:14.000 Go call 911 or activate the emergency medical services or call a code and come back, I might need your help. 38 00:04:14.000 --> 00:04:23.076 Checking for a brachial pulse for no more than 10 seconds. I do not easily palpate a pulse 39 00:04:23.076 --> 00:04:29.047 and there seems to be no breathing, no moving. Going into 30 chest compressions. 1 and 2 and 3 and 40 00:04:29.047 --> 00:04:41.088 4 and 5 and 6 and 7 and 8 and ...28, 29, 30. 41 00:04:42.008 --> 00:04:50.050 Inverted mask over the mouth, sealing the chin, forehead to sides. One breath goes in, 42 00:04:50.050 --> 00:04:57.093 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 43 00:04:57.093 --> 00:05:05.093 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.