Signs and Symptoms

■ Failure to breathe

■ Inability to move air into lungs with rescue breaths

1. Check for unresponsiveness. Gently shake or tap child. Shout, "Are you OK?"

2. If no response send a second rescuer, if available, for help.

3. Position child supine on a hard, flat surface. Support head and neck, loosen clothing, and expose chest.

4. Open airway by the head tilt-chin lift method or, if spinal injury is suspected, use the jaw thrust method.

5. Look, listen, and feel for breathing for up to 10 sec.

6. If child is not breathing, begin rescue breaths. If the chest does not rise, reposition the head and the chin and jaw, and attempt to ventilate.

7. If ventilation is unsuccessful and chest still does not rise, begin abdominal thrusts. Straddle child's thighs. Place heel of hand in middle of abdomen just above umbilicus.

8. Place other hand on top of first hand and give five quick thrusts inward and upward.

9. Open child's mouth by placing thumb over tongue and index finger under chin. If object is visible and loose, perform a finger sweep and remove it. Do not perform a blind finger sweep.

10. If airway obstruction is not relieved after 1 min and rescuer is alone, call for an AED, summon help, call a code, or call 911.

11. Repeat steps 6 through 9 until rescue breaths are effective. Then continue steps for CPR.

y Clinical Tip: Avoid compression of the xiphoid process.

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Your heart pumps blood throughout your body using a network of tubing called arteries and capillaries which return the blood back to your heart via your veins. Blood pressure is the force of the blood pushing against the walls of your arteries as your heart beats.Learn more...

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