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If the breathing is not present, make a tight seal over the mouth and the nose of the infant
and begin rescue breathing by giving two slow breaths.
Time: 1 second per breath and watch chest rises and allows time for exhalation.
Volume: Enough to see the chest of the infant rise during ventilation (cheek)
7. Circulation
If the pulse is absent give 5 cycles of external 30 chest compressions followed by 2 slow
breath
Figure 10.6: chest compression for children
Landmarks for external chest compressions
Nipple line technique
The area of compression is just below the imaginary line, using the middle and ring
fingers. Draw a line between your baby's nipples, and go 1 finger length lower than the
nipple line. Hold your index finger up, and use your other 2 fingers to do chest
compressions.
➢ Rate of compression: 100 per minute
➢ Depth of compression: 1/3-1/2 the depth for the chest
➢ Compression : ventilation ratio: 30:2
➢ Compression: relaxation cycle should be equal
8. Reassessment
➢ Reassess the infant after every 5 cycles of 30 compressions and 6 cycles of 2 ventilations
(2 minutes).
➢ According to the findings
➢ There are pulse and breathing, place the infant in the recovery position, monitors vital
signs until EMS arrives
➢ There is a pulse but no breathing continues to rescue breathing one breath every 3-5
seconds (12-20 per minute) and reassess.
➢ No pulse or breathing continues CPR 30:2. Ratio, assess for the pulse and breathing after
5 cycles (2minutes)
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