Page 124 - Demonstrating skill coppysaved colored-converted

10.2.3 CPR procedure for the infant (to approximate 1 year)
1. Check the Scene or Assessment of the Situation (Always Present if it is out of Health
Centers)
 Make sure it is safe for you to help.
 Don't become another victim and assess the environment to know the cause of the
problem
2. Check the Victim or Assessment of unresponsiveness
 Tap the infant and shake to elicit a response, or palpate the sole of the feet
 To elicit a response a painful stimulus can be applied such as:
 Pinching the earlobe,
 Pressing over the eyelid and observing for grimacing.
 If unresponsive start CPR immediately. If a second rescuer or someone is available, have
him or she activates the EMS system.

3. Call for Help or Activate EMS (if the second rescuer is available otherwise call
after 2 min.)
 Sudden witnessed collapse (likely VF) arrest activates EMS (Emergency medical
service), do CPR.
 Hypoxic arrest (i.e., suffocation give 5 cycles of CPR (about 2 minutes) before alerting
EMS. If there is no response, Call ***** and return to the victim. In most locations, the
emergency dispatcher can assist you with CPR instructions
4. Position the victim in supine, firm and flat surface
5. Airway
Open the airway:
Apply head tilt- chin lift to ‘sniffing’ or neutral position.
Jaw thrust maneuver in the trauma patient
6. Breathing
Assessment of breathlessness and brachial pulse (5-10 seconds)
Place your ear just one inch above the mouth and the nose of the infant and perform the
following.
Look for the chest to rise and fall
Listen for air escaping during exhalation
Feel for the flow of air on your check
7. Assessment of pulseless: brachial pulse (5-10 seconds)
Feel for the brachial pulse while maintaining head tilt with the other hand, Never use
carotid pulse for infants because you may interrupt circulation to the brain if present.
The brachial pulse is located on the inside of the upper arm, between the elbow and
shoulder.

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