If there's no response, follow the CAB procedures and call for help as follows: o If you're the only rescuer and CPR is needed, do CPR for two minutes - about five cycles - before calling ambulance or your local emergency number. o If another person is available, have that person call for help immediately while you attend to the baby.
Steps: Circulation - Airway - Breathing I. Assess Responsiveness If not responding, check for
breathing If not breathing, call for
help / ambulance Circulation: o Check Pulse: Place two fingers along the artery in front of the elbow to feel for brachial pulse. Alternately check for femoral pulse at groin. o If Pulse is not present - Begin chest compressions o Imagine a horizontal line drawn between the baby's nipples. Place two fingers of one hand just below this line, in the center of the chest. o Gently compress the chest to at least one-third the depth of the chest. o Count aloud as you compress in a fairly rapid rhythm. You should compress at a rate of about 100 times a minute. o Give two breaths after every 30 chest compressions. For two rescuers give 15 compressions followed by 2 breaths o Perform CPR for about two minutes before calling for help unless someone else can make the call while you attend to the baby. o Continue CPR until breathing & pulse resumes.
Cardio Pulmonary Resuscitation (Basic Life Support)
II. Check for Carotid Pulse, if absent - start CPR III. Start Chest Compression
Push hard and fast
Allow full chest recoil
Minimize interruptions in chest compressions
IV. Clear the Airway: Head tilt and chin lift
Department of Emergency & Trauma V. Give two Rescue Breaths After every 30 chest
compressions
Pushpanjali Crosslay Hospital W-3, Sec-1, Vaishali, Ghaziabad-201012, NCR-Delhi Phone: 0120-4188000, 4173000 In case of Emergency: 0120-4173002, 4188188 E-mail: info@pch.co.in | Website: www.pch.co.in
Cardio Pulmonary Resuscitation Cardiopulmonary resuscitation (CPR) is a combination of rescue breathing and chest compressions delivered to patients in cardiac-respiratory arrest. When cardiac-respiratory arrest occurs, the heart stops pumping blood & breathing stops. CPR supports blood flow to the heart and brain to “buy time” until normal heart & lung function are restored. Assessing Responsiveness o Is the victim responding? o If the victim appears unconscious, tap or shake his or her shoulder and ask loudly, "Are you OK?" o If the person doesn't respond, check breathing by looking at his chest movements. If he is not breathing or is gasping, activate Emergency Medical Services / Ambulance or call for help. Circulation: o Check Carotid Pulse by feeling the Adam’s apple in the midline of neck and move your fingers sideways in the groove near food pipe. If pulse is absent or you are not sure in 10 seconds - begin chest compressions. o Place the heel of one hand over the center of the person's chest, between the nipples. Place your other hand on top of the first hand. Keep your elbows straight and position your shoulders directly above your hands. o Use your upper body weight (not just your arms) as you push straight down (compress) on the chest to at least 2 inches. Push hard and push fast @ of 100 compressions per minute. o After 30 compressions, Give 2 rescue breaths. One cycle comprises of 30 compressions & 2 breaths. If someone else is available, ask that person to give two breaths after you do 30 compressions. Check response only after 5 cycles of 30:2 - compression: breaths. o Continue CPR until breathing & circulation is restored or Emergency Medical Team arrives.
Airway: Clear the airway o Put the person on his or her back on a firm surface. o Kneel next to the person's neck and shoulders. o Open the person's airway using the head tilt-chin lift. Put your palm on the person's forehead and gently push down and back. Then with the other hand, gently lift the chin forward to open the airway. o If you find a foreign body in the throat, sweep with your finger to remove it. Breathing: o Check for normal breathing, taking no more than 10 seconds: Look for chest rise & fall. Do not consider gasping to be normal breathing. If the person isn't breathing normally or you aren't sure, begin mouth-to-mouth breathing. o With the airway open (using the head tilt-chin lift), pinch the nostrils & seal the victim‘s mouth with yours to deliver rescue breaths. o Prepare to give two rescue breaths. Give the first rescue breath - lasting one second - and watch to see if the chest rises. If it does rise, give the second breath. If the chest doesn't rise, repeat the head tilt-chin lift and then give the second breath. Do not force too much air into the victim. o If victim is unconscious and is not breathing but have a carotid pulse, give rescue breathing by providing one mouth to mouth breath every 5-6 seconds or give your exhaled breath to the victim every time you breathe. If you find it difficult to give mouth to mouth breathing, provide continuous chest compressions for 2 minutes before checking pulse.
To Perform CPR on A Child The procedure for giving CPR to a child age 1 to puberty is essentially the same as that for an adult. The differences are as follows: o Perform five cycles of compressions and breaths on the child - this should take about two minutes - before calling Emergency medical service, unless someone else can call while you attend to the child. o Use only one hand / 2 hands to p e r fo r m c h e s t c o m p r e s s i o n s depending on child’s weight. o Breaths more gently. For rescue breathing give one breath every 3 to 5 seconds. o Compress chest to at least 1/3 of the depth of chest or approximately 2 inches or 4 cm. o If you are alone use the same compression/breath rate as is used for adults: 30 compressions followed by two breaths. For 5 times before checking pulse. If two rescuers, give 10 sets of 15 compressions followed by two breaths. Continue CPR until victim's pulse & breathing is restored.
To Perform CPR on an infant Most cardiac arrests in infants occur from lack of oxygen, such as from drowning or choking. To begin, assess the situation. Assess the responsiveness of the baby by gently tapping the shoulder or tickling sole of foot of the child.