- Like all scenarios, we have to ensure
that the scene is safe before we begin rescue,
or else we can become a victim, too.
And in this scenario, you can see that the baby
has probably actually got themselves
into a bad situation because they bit a cord
that was frayed and may have been electrocuted.
So, before we ever touch this baby,
we've gotta make sure that we de-energize
the source of the electrocution.
In this case, I follow with my eyes the cord,
right back to its source of energy,
and I carefully unplug it and ensure that
there's no longer any chance of getting electrocuted.
It's at this time, if there are bystanders,
it wouldn't be bad to call 9-1-1
or have somebody go call 9-1-1
while we then grab the baby
and bring them to a place where there's a hard surface
so that we begin rescue.
Carefully roll the baby,
bring them to a hard surface.
Now, let's take a look at infant CPR.
But, before we get into the actual skills,
let's talk about a few important parts.
And one of those is,
make sure that the surface that you lay
the baby on is hard and it will not allow
the body of the baby to sink into padding,
and that's a part of the reason
why I'm not on the floor on a carpeted, padded surface.
We wanna make sure
that every compression I give is maximal.
We wanna make sure that it is actually doing
what it's supposed to do
and that the baby's body is not sinking
into that surface, diminishing the effect
of the compression.
Number two, when it comes to infants and children,
they're so respiratory-driven,
they're so oxygen-driven that we wanna make sure
to make a note whether or not they went
into cardiac arrest in our presence
or whether we found them already in cardiac arrest.
Because if we found them in cardiac arrest
and we don't know how long they've been down,
we know they need oxygenation really bad.
And so, we're gonna actually postpone contacting 9-1-1
or EMS
to give them CPR
when we don't have a phone readily available.
If we have a phone available
or we have somebody who can go call 9-1-1,
then by all means, don't delay EMS.
But, if you don't have a way to call 9-1-1
and we found the baby already in cardiac arrest,
we're gonna deliver two minutes of CPR
before we interrupt to go call 9-1-1.
If the baby was witnessed,
we call 9-1-1 immediately,
and then go right into CPR.
It's not wrong to carry the baby with you, either.
So, if you found the baby downstairs
and you know you have to bring them up
to meet the ambulance,
you could carry the baby with you
and get the 9-1-1 call made,
and then begin your CPR right away.
In this case, the scene is safe,
our gloves are on, our CPR shield is available,
and I actually do have a cellphone that's available.
So, I'm gonna call 9-1-1
because the baby is not responding.
I've already tapped their feet,
I've already tapped their chest.
They didn't move, they didn't cry,
they didn't talk, they didn't move to my tickling,
and they certainly are not breathing normally.
So, I know this is a medical emergency,
so I called 9-1-1, I actually put the phone
on the speaker so that the dispatch center
can coach me through this event.
I'm not alone anymore, I have help.
Now, I'm gonna bare the chest of the baby
and I'm gonna find the imaginary line
between the nipples.
I'm now gonna put my two fingers down
on the center of the chest
to begin my one-third the depth of the chest,
or approximately one and a half deep compressions
at a rate between 100 and 120 times per minute.
One and two, and three and four,
and five and six, and seven and eight,
and nine and 10, 11, 12,
13, 14, 15, 16,
17, 18, 19, 20,
21, 22, 23, 24,
25, 26, 27, 28,
29, 30.
Now, I'm gonna take my CPR shield
with a one-way valve.
I'm gonna cover the nose and mouth of the baby.
Now, watch as I do the head tilt/chin lift.
I'm not bringing the head fully back
like I would a large child or an adult
because a baby's airway is only the size
of their pinky.
So, what we're doing is bringing
the baby's head into more of a neutral position.
Remember, infants don't really have much of a neck,
so if their chin is too close to their chest
or their head is tilted back too far,
both can actually diminish the openness of their airway.
So, I want them in more of a neutral position.
Now, there's another little way
to remember that, and I call it the sniffing position.
Now, what do I mean by sniffing position?
Well, what I mean is,
if you walked into a room and someone were baking cookies,
you wouldn't really put your nose down
like you were smelling a flower,
you would maybe put it a slightly bit up into the air and,
(sniffs) ooh, someone's baking cookies.
What's that smell?
So, that's what we mean by the sniffing position.
It's not fully back, it's just slightly raised.
And so, we bring the baby's head
into the neutral position or slightly-sniffing position.
Now, I'm gonna seal my mouth over the nose
and mouth of the baby and deliver a rescue breath.
As I deliver the breath,
I see the chest rise and fall.
I'm gonna deliver my second breath.
As I give my second breath,
the air goes in again.
Now, I'm gonna repeat the chest compressions.
30 chest compressions between a rate
of 100 to 120 times a minute.
Then, I'm gonna give them two more rescue breaths,
and I'm gonna continue this cycle
of 30 chest compressions to two rescue breaths
and I'm not going to stop until EMS arrives,
and AED arrives, or someone equally trained
or higher relieves me from this skill.