Breathing

Expired air resuscitation should be applied at five breaths each of 1:1.5 seconds and for infants the mouth to "mouth and nose' technique is taught.

SUMMARY OF ASSESSMENT OF CIRCULATION AND COMPRESSION TECHNIQUES IN INFANTS AND CHILDREN

(as recommended by ERC 1993, Zideman 1994, Nadkami 1997)

Infant < 1 yr

Young child < 8 years

Older child

Circulation

Pulse check

Brachial

Carotid

Carotid

Compression

Site

One finger breadth below nipple line

Two fingers breadth above the xiphisternum

As adult

Technique

Two fingers or both thumbs with hands encircling chest

Heel of one hand

One or two hands

Approximate depth

1/3 of chest depth

1/3 of chest depth

1/3 of chest depth

Rate/minute

100

100

100

Ratio

5:1

5:1

15:2 or 5:1

Ref. Nadkarni V, Hazinski M F, Zideman D, Kattwinkel J, Quan L, Bingham R et al. Paediatric Life Support. An Aadvisory statement by the Paediatric Life Support Working Group of the International Liaison Committee on Resuscitation (ILCOR) Resuscitation 34 (1997) 115-127

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