now let's cover one rescuer CPR for the
infant remember that we're still
checking for scene safety this could be
an abusive scenario if it's out of
hospital where the baby is down because
of shaken baby syndrome or other abuse
so be aware of that also you never know
what condition you're getting to maybe
there's fumes or gas or carbon monoxide
in the home if it's in hospital maybe
not such a concern but we need to be
aware of our scenario of our scene at
all times
that means gloves are on CPR shield is
available with a one-way valve to keep
this baby's body fluids on its side and
away from the rescuer a lot of times we
forget that infants could contract a
contagious disease at childbirth and
they are not immune to that so we still
need to be thinking about infectious
diseases and protecting ourselves then
we're going to assess the baby for
responsiveness baby baby are you alright
are you okay
there's no response and the baby does
not appear to be breathing normally
maybe they're having gasping
respirations or agonal respirations
that's qualified as no respirations and
the baby's not moving we do not see any
movement or hear any response we're
going to now activate the emergency
medical services or call a code though
we are D emphasizing the importance of
actually being able to feel a pulse in
an unresponsive non breathing patient as
healthcare professionals you are still
allowed to check for a pulse up to ten
seconds I prefer to do so myself
practice makes perfect but in checking
the brachial artery the brachial artery
on the inside of the baby's arm between
the biceps and the triceps on the inside
of that little humerus bone we're
checking for a brachial pulse for up to
10 seconds checking with the middle
finger and ring finger ideally I do not
feel a pulse the baby's not breathing
not responding we're going to begin 30
chest compressions at least one-third
the depth of the full chest of the baby
1 & 2 & 3 & 4 & 5 keep in mind that your
two fingers are between the breasts on
the sternum
downward thrust at least one-third of
the depth of the chest at least a
hundred compressions a minute or more
after we do our 30 compressions we're
going to grab our our mask with the
one-way valve now I'm showing this
purposely because this is the most
common professional rescuer mask around
note that it's an adult size there are
pediatric size there are a neonate size
there are smaller versions there's
harder seals and more marshmallow like
seals I prefer the marshmallow seal
because it conforms to the baby's face
and features better if you're using the
adult size mask on an infant or a
smaller child there's a technique in
helping us to seal this you'll take the
smaller part of the mask that normally
covers the adult nose and turn it upside
down this is the part that will seal the
over the chin under the bottom of the
lip the bottom lip taking the other hand
seal over each side of em each corner of
the face and the forehead bringing the
baby's head in to a neutral or sniffing
position we're now going to give two
small breaths enough to get chest rise
and fall if we don't get a breath
resituated
one breath goes in by chest rise and
fall another breath goes in by chest
rise and fall
reposition the fingers and start your
compressions 30 times we're going to do
these 30 compressions followed by two
breaths as a single rescuer until an AED
arrives or until the next level of
emergency medical services or advanced
life support arrived to take over baby
baby are you all ready okay they don't
appear to be breathing normally help you
in the red shirt go call 911 or activate
the emergency medical services or call a
code and come back I might need your
help checking for a brachial pulse for
no more than 10 seconds I do not easily
palpate a pulse and there seems to be no
breathing no moving
going into 30 chest compressions 1 & 2 &
3 & 4 & 5 & 6 8 9 10 11 12 13 14 15 16
17 18 19 22 23 24 25 26 27 28 29 30
inverted mask over the mouth sealing the
chin forehead the sides one breath goes
in two breaths go in 1 & 2 & 3 & 4 & 5 &
back up to 30 again followed by two
breaths I will stop doing CPR in order
to put the AED in place or the emergency
medical services arrived and I turn the
care over to them