My name is Moya Travis and I am a first aid trainer with St John Ambulance, and today I am working with SafeKids.co.uk to produce this video so that you can see how CPR is performed on an infant. An infant is from birth to one year.
As you approach, if the child is just lying there and it doesn’t make any movement when you approach it, then I’ve got to check to see if there is any danger. What has caused this child to be in this position?
After I have checked the danger, and there is no danger to myself or the child, I will now check response. I am going to call the baby’s name:
“Can you open your eyes for me? Amelphi! Hello!”
I’m going to just tickle the bottom of the child’s feet to see if I get some response. There’s no response, so the next thing I am going to do is open and check the airway.
Place my hand on the forehead, just gently tilt it back, just look inside the mouth to check if there is any vomit or food or any object that is in there. If I can’t see anything, the only thing that I will do now is put two fingers under the bony part of the jaw and tilt the head back.
Now I am going to assess for the breathing. I am going to put my face near hers, I’m going to feel for the breathing, listen for the breathing and at the same time I am going to check here, just about the abdomen to see if it’s rising and falling. This breathing check should take no longer than 10 seconds.
The infant isn’t breathing, so now I need to start to perform CPR. If you pick the child up, cradle it in your arm, ensuring that the head’s well back. The first thing I am going to do is give her five breaths. I am going to seal my mouth round her mouth and nose.
The next thing I am going to do is lay the child on a hard surface and commence chest compressions. If you run your third finger between the nipples on the child to the centre and then place the first finger at the side of it. Then I am going to press down 30 times.
We’re doing it at a rate of 100 a minute, so it’s fairly fast. 123…
Then I’m going to give her two more breaths, ensuring that the chest rises every time I breathe into her and then I am back doing 30 chest compressions.
We don’t need to press too hard because obviously this is only an infant and the little breastbone isn’t fully developed, so we’ve got to go gently but firm, followed by a further two breaths.
If I was on my own and I realised that the child wasn’t recovering, I would pick the child up and take the child with me to the phone to make a 999 call.