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Questions and Answers
What is the recommended depth of chest compression for a child?
What is the recommended depth of chest compression for a child?
What is the most common airway obstruction in an unconscious person?
What is the most common airway obstruction in an unconscious person?
What should you do before delivering the second rescue breath to a child or infant?
What should you do before delivering the second rescue breath to a child or infant?
What is the correct method to open the airway in a non-trauma victim?
What is the correct method to open the airway in a non-trauma victim?
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When should you switch to two-handed CPR?
When should you switch to two-handed CPR?
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Why is it important to watch for the chest to rise when delivering rescue breaths to children?
Why is it important to watch for the chest to rise when delivering rescue breaths to children?
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What should you avoid when performing the head tilt/chin lift maneuver?
What should you avoid when performing the head tilt/chin lift maneuver?
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What is the recommended rate of chest compressions for children?
What is the recommended rate of chest compressions for children?
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What can happen if you deliver a rescue breath too forcefully or with too much volume?
What can happen if you deliver a rescue breath too forcefully or with too much volume?
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What is the recommended rate of chest compressions when performing CPR on a child?
What is the recommended rate of chest compressions when performing CPR on a child?
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How do you open the airway of a child who isn't suspected of sustaining a spinal injury?
How do you open the airway of a child who isn't suspected of sustaining a spinal injury?
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What should you avoid doing when performing CPR?
What should you avoid doing when performing CPR?
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Why is it important to perform rescue breathing properly during CPR?
Why is it important to perform rescue breathing properly during CPR?
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What is the recommended sequence of CPR cycles?
What is the recommended sequence of CPR cycles?
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When should you open the child's airway?
When should you open the child's airway?
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What can happen if air enters the stomach during CPR?
What can happen if air enters the stomach during CPR?
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How long should it take to fill a child's lungs using manual rescue breathing?
How long should it take to fill a child's lungs using manual rescue breathing?
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What is the purpose of the head-tilt/chin-lift maneuver?
What is the purpose of the head-tilt/chin-lift maneuver?
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What should you do after opening the child's airway using the head tilt/chin lift method?
What should you do after opening the child's airway using the head tilt/chin lift method?
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What is the purpose of chest compressions in CPR?
What is the purpose of chest compressions in CPR?
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How do you perform one-handed chest compression on a child?
How do you perform one-handed chest compression on a child?
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When should you stop performing CPR?
When should you stop performing CPR?
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What is the recommended number of chest compression cycles before attempting to deliver rescue breaths?
What is the recommended number of chest compression cycles before attempting to deliver rescue breaths?
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What is the importance of proper training in rescue breathing during CPR?
What is the importance of proper training in rescue breathing during CPR?
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What is the primary cause of most cardiac arrest situations involving infants and children?
What is the primary cause of most cardiac arrest situations involving infants and children?
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When should you stop continuing the resuscitation attempt?
When should you stop continuing the resuscitation attempt?
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What is the purpose of pediatric pads in AEDs?
What is the purpose of pediatric pads in AEDs?
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What is the recommended approach to CPR in infant cardiac arrest situations?
What is the recommended approach to CPR in infant cardiac arrest situations?
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Why is it important to continue the resuscitation attempt following the latest recommended CPR guidelines?
Why is it important to continue the resuscitation attempt following the latest recommended CPR guidelines?
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What is the primary goal of chest compressions in CPR?
What is the primary goal of chest compressions in CPR?
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What is the recommended approach to defibrillation in infants and children?
What is the recommended approach to defibrillation in infants and children?
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Why is it important to follow the latest recommended CPR guidelines?
Why is it important to follow the latest recommended CPR guidelines?
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What is the correct placement for chest compressions on an infant?
What is the correct placement for chest compressions on an infant?
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What is the recommended sequence for conducting CPR on an infant?
What is the recommended sequence for conducting CPR on an infant?
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What is the purpose of using a barrier device during CPR?
What is the purpose of using a barrier device during CPR?
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How can you quickly find the correct placement for chest compressions on an infant?
How can you quickly find the correct placement for chest compressions on an infant?
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What is the recommended age range for infant CPR?
What is the recommended age range for infant CPR?
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Why is it important to use protective exam gloves during CPR?
Why is it important to use protective exam gloves during CPR?
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What is the first step in conducting CPR on an unresponsive infant?
What is the first step in conducting CPR on an unresponsive infant?
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What is the purpose of a barrier device during mouth-to-mouth rescue breathing?
What is the purpose of a barrier device during mouth-to-mouth rescue breathing?
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What is the most common cause of non-traumatic infant cardiac arrests?
What is the most common cause of non-traumatic infant cardiac arrests?
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What should be included in the resuscitation attempt for an unresponsive infant?
What should be included in the resuscitation attempt for an unresponsive infant?
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Why is rescue breathing important in infant CPR?
Why is rescue breathing important in infant CPR?
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What is the goal of CPR for an unresponsive infant?
What is the goal of CPR for an unresponsive infant?
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What should be done for an infant in cardiac arrest, regardless of the cause?
What should be done for an infant in cardiac arrest, regardless of the cause?
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What is the importance of CPR for an infant in cardiac arrest?
What is the importance of CPR for an infant in cardiac arrest?
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Why is proper training in infant CPR important?
Why is proper training in infant CPR important?
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What is the recommended course of action for an unresponsive infant?
What is the recommended course of action for an unresponsive infant?
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Where should you place your fingers to find the proper finger placement on the center of the infant's sternum?
Where should you place your fingers to find the proper finger placement on the center of the infant's sternum?
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How do you stabilize the infant's head during CPR?
How do you stabilize the infant's head during CPR?
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What is the recommended depth for chest compressions on an infant?
What is the recommended depth for chest compressions on an infant?
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Why is it important to release the pressure on the infant's chest between compressions?
Why is it important to release the pressure on the infant's chest between compressions?
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What is the goal of chest compressions in infant CPR?
What is the goal of chest compressions in infant CPR?
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How should you deliver chest compressions on an infant?
How should you deliver chest compressions on an infant?
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Why is it important to avoid stiff or spastic motions during chest compressions?
Why is it important to avoid stiff or spastic motions during chest compressions?
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What is the recommended approach to delivering chest compressions on an infant?
What is the recommended approach to delivering chest compressions on an infant?
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What is the first step in checking for consciousness in an unresponsive infant?
What is the first step in checking for consciousness in an unresponsive infant?
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Where should you place the infant for CPR?
Where should you place the infant for CPR?
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How do you stabilize the infant's head during CPR?
How do you stabilize the infant's head during CPR?
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Where should chest compressions be placed on an infant?
Where should chest compressions be placed on an infant?
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How can you find the correct placement for chest compressions on an infant?
How can you find the correct placement for chest compressions on an infant?
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What is the correct technique for chest compressions on an infant?
What is the correct technique for chest compressions on an infant?
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What is the recommended rate of chest compressions for infant CPR?
What is the recommended rate of chest compressions for infant CPR?
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What is the purpose of using protective exam gloves during CPR?
What is the purpose of using protective exam gloves during CPR?
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What should you avoid doing when performing chest compressions on an infant?
What should you avoid doing when performing chest compressions on an infant?
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What is the primary purpose of the head-tilt/chin-lift maneuver in infant CPR?
What is the primary purpose of the head-tilt/chin-lift maneuver in infant CPR?
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How should you position the infant's head during CPR?
How should you position the infant's head during CPR?
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What is the recommended rate of chest compressions for infant CPR?
What is the recommended rate of chest compressions for infant CPR?
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What should you do to ensure the victim's airway remains open during CPR?
What should you do to ensure the victim's airway remains open during CPR?
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How should you deliver rescue breaths to an infant during CPR?
How should you deliver rescue breaths to an infant during CPR?
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Why is it important to keep your fingers on the victim's chest during CPR?
Why is it important to keep your fingers on the victim's chest during CPR?
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What should you avoid doing when opening the airway during CPR?
What should you avoid doing when opening the airway during CPR?
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Study Notes
Airway Obstruction
- The tongue is the most common airway obstruction in an unconscious person.
- The tongue can fall back into the throat when the person is not conscious enough to prevent it.
Opening the Airway
- Use the head tilt/chin lift method for non-trauma victims to open the airway.
- Place one hand on the forehead and the other hand underneath the chin.
- Gently push down on the forehead while lifting the chin to open the airway.
- Be cautious not to lift the chin too hard, as it can close the child's mouth, and tilting the head too far back can occlude the airway.
Rescue Breathing
- The rescue breathing portion of child/infant CPR is highly recommended.
- If not properly trained, "fast-n-hard" chest compressions at a rate of 100 to 120 per minute are appropriate.
- However, rescue breathing must be conducted properly to be effective.
Child CPR Technique
- After opening the airway, pinch the nose shut and deliver the first rescue breath slowly and evenly until the chest visually rises.
- Chest compressions can begin after the first rescue breath.
- Use one-handed or two-handed compressions depending on the child's size and your strength.
- Press straight down on the child's chest hard enough to compress the sternum 2 inches (5 cm) or approximately 1/3 the depth of the child's chest.
- Deliver chest compressions at a rate of 100 to 120 per minute.
CPR Cycle
- Deliver 30 "hard-n-fast" chest compression cycles, followed by 2 rescue breaths.
- Continue CPR cycles until an AED or EMS arrives, the victim shows obvious signs of life, or the scene becomes too unsafe to continue care.
Infant CPR
- Cardiac arrest in infants is uncommon but can occur due to asphyxia or respiratory ailments.
- Most non-traumatic infant cardiac arrests respond favorably to rescue breathing.
- All unresponsive infants should receive CPR, including rescue breathing, until reaching the hospital if possible.
Universal Precautions
- Minimal universal precautions for CPR include:
- Protective exam gloves
- Barrier device when using mouth-to-mouth rescue breathing
Infant CPR Protocol
- Conduct CPR on infants under the age of one year.
- Follow the National CPR Standards: Compressions - Airway - Breathing - Defibrillation (CABD).
- Check for consciousness by tapping or tickling the infant's foot and making noise.
- If unresponsive, position the infant on a flat surface, with the face up, and begin compressions.
Compression Technique
- Proper placement for chest compressions is just below the nipple line.
- Place three fingers in the center of the infant's chest, with the top finger between the nipples, to find the correct placement.
Keys to Successful CPR
- High-quality, "fast-n-hard" CPR, including rescue breathing, gives the infant the greatest chance of survival.
- Continue CPR until:
- The infant shows signs of life (breathing or moving).
- Another person with higher training takes over.
- Physical exhaustion or injury prevents continuation.
- It becomes too dangerous to continue.
Defibrillation
- Most newer model AEDs deliver normal defibrillation energy levels to adults or children, depending on the size pad selected.
- Pediatric pads are designed for children and deliver lower energy levels to infants and children up to eight years old/less than 55 pounds.
Infant CPR
- Infant CPR should be conducted on any child under the age of one year.
- To check for consciousness, tap or tickle the bottom of the infant's foot and make noise.
Compressions
- Proper placement for chest compressions on an infant is just below the nipple line, at the center of the infant's sternum.
- To find the correct placement, place three fingers in the center of the infant's chest with the top finger between the nipples.
- If the notch at the bottom of the infant's sternum is felt with the compression fingertips, move them up slightly toward the head.
- Administer 30 chest compressions on an infant at 1.5 inches deep (1/3 their chest diameter).
- Compressions should be delivered "fast-n-hard" at a depth that maximizes blood flow without causing injury.
- Ensure compressions are delivered smoothly, not with stiff, rigid, or spastic motions.
Airway
- Opening the infant's airway is safely accomplished by applying a gentle head-tilt/chin-lift maneuver.
- The airway must be open so that air can enter and exit the lungs.
- The tongue is the most common airway obstruction in any unconscious victim and can prevent adequate airflow during CPR.
Breathing
- Once the victim's airway is properly open, ensure the barrier device is in place before delivering the first rescue breath.
- To properly deliver a breath to an infant, simultaneously cover their nose and mouth with your mouth.
- It should take about a second to fill the victim's lungs and about a second for exhalation to occur naturally.
- Repeat the rescue breath once more before proceeding with the next cycle of 30 chest compressions.
General
- The minimal universal precaution requirements for conducting CPR on any person of any age consist of protective exam gloves and the use of a barrier device when mouth-to-mouth rescue breathing is used.
- Employ C, A, B, D: Compressions - Airway - Breathing - Defibrillation.
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Description
Learn about the common airway obstruction in unconscious people and how to open the airway using the head tilt/chin lift method.