like all scenarios we have to ensure
that the scene is safe before we begin
rescue or else we could become a victim
too and in this scenario you can see
that the baby is probably actually got
themselves into a bad situation because
they bit Accord that was frayed and may
have been electrocuted
so before we ever touched this baby
we've got to make sure that we
de-energized 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 a padding that's part of the reason
why I'm not on the floor on a carpeted
padded surface we want to make sure that
every compression I give is maximal we
want to 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 want to 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
going to 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 my man one 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 cell
phone that's available so I'm going to
call 9-1-1 because the baby is not
responding I've already tapped their
feet I've already tapped their 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 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 1/3 the depth of the chest
or approximately one and a half deep
compressions at a rate between a hundred
and a hundred and twenty times per
minute one and two and three and four
and five and six and seven and eight and
nine and ten 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 pinkie 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 an
neutral position now there's another
little way to remember that and I call
it this 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're
smelling a flower you would maybe put it
a slightly bit up into the air and 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 going to 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 going to deliver my second breath as
I give my second breath the air goes in
again now I'm going to reach Pete the
chest compressions 30 chest compressions
between a rate of a hundred to a hundred
and twenty times a minute then I'm going
to give them two more rescue breaths and
I'm going to continue this cycle of 30
chest compressions to two rescue breaths
and I'm not going to stop until EMS
arrives an AED arrives or someone
equally trained or higher release me
from this skill