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-Place the infant on a firm, flat surface.
-Place 2 fingers in the center of the infant's chest, just below the nipple line, on the lower half of the breastbone.
-Give compressions at a rate of 100 to 120/min.
-Compress at least one third the AP diameter of the infant's chest [approximately 1½ inches, or 4 cm].
At the end of each compression, make sure you allow the chest to completely recoil [reexpand];
do not lean on the chest. Chest compression and chest recoil times should be about equal. Minimize interruptions in compressions [eg, to give breaths] to less than 10 seconds.
-After every 30 compressions, open the airway with a head tilt-chin lift and give 2 breaths, each over 1 second. The chest should rise with each breath.
-After about 5 cycles or 2 minutes of CPR, if you are alone and no one has activated the emergency response system, leave the infant [or carry the infant with you]
and activate the emergency response system and get the AED.
-Continue compressions and breaths at a ratio of 30 compressions to 2 breaths. Use the AED as soon as it is available. Continue until advanced life support providers take over or the infant begins to breathe, move, or otherwise react.
-Place the infant on a firm, flat surface.
-Place both thumbs side by side in the center of the infant's chest, on the lower half of the breastbone. Your thumbs
may overlap on very small infants. With the fingers of both hands, encircle the infant's chest and support the infant's back.
-With your hands encircling the chest, use both thumbs to depress the breastbone [Figure 30] at a rate of 100 to 120/min.
-Compress at least one third the AP diameter of the infant's chest [approximately 1½ inches, or 4 cm].
-After each compression, release all pressure on the breastbone and allow the chest to recoil completely.
-After every 15 compressions,
pause briefly for the second rescuer to open the airway with a head tilt-chin lift and give 2 breaths, each over 1 second. The chest should rise with each breath. Minimize interruptions in compressions [eg, to give breaths] to less than 10 seconds.
-Continue compressions and breaths at a ratio of 15 compressions to 2 breaths [for 2 rescuers]. The rescuer providing chest compressions should switch roles with another provider about every 2 minutes to avoid fatigue so that chest compressions
remain effective. Continue CPR until the AED arrives, advanced life support providers take over, or the infant begins to breathe, move, or otherwise respond.
Step 1: Verify scene safety.
Make sure that the scene is safe for you and the victim.
Step 2: Check for responsiveness and get help.
Tap the child's shoulders. Shout, "Are you OK?" If the victim is not responsive, shout for help and activate the emergency response via mobile device if
appropriate. The first rescuer remains with the victim while the second rescuer activates the emergency response system and retrieves the AED and emergency equipment.
Step 3: Assess for breathing and a pulse.
Check for a pulse to determine next actions. To minimize delay in starting CPR, you should assess breathing and pulse at the same time. This should take no more than 10 seconds.
Steps 3a and 3b: Determine next actions based on whether breathing is normal and if a pulse is
felt:
If the victim is breathing normally and a pulse is felt, activate the emergency response system. Monitor the victim until emergency responders arrive.
If the victim is not breathing normally but a pulse is felt:
-Provide rescue breathing, with 1 breath every 2 to 3 seconds, or 20 to 30 breaths per minute.
-Assess the pulse rate for 10 seconds.
Steps 4, 4a, and 4b: Is the heart rate less than 60/min [less than 6 beats in 10 seconds] with signs of poor perfusion?
If yes,
start CPR.
If no, continue rescue breathing. Check for a pulse about every 2 minutes. If no pulse, start CPR.
Step 5: The first rescuer starts cycles of CPR with 30 compressions and 2 breaths. When the second rescuer returns, continue cycles of CPR with 15 compressions and 2 breaths. Use the AED as soon as it is available.
Step 6: Follow the AED directions to check the rhythm.
Step 7: If the AED detects a shockable rhythm, give 1 shock. Resume CPR immediately until prompted by the
AED to allow a rhythm check, about every 2 minutes. Continue CPR and using the AED until advanced life support providers take over or the victim begins to breathe, move, or otherwise react.
Step 8: If the AED detects a nonshockable rhythm, resume high-quality CPR until prompted by the AED to allow a rhythm check, about every 2 minutes. Continue CPR and using the AED until advanced providers take over or the victim begins to breathe, move, or otherwise react.