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C H I L D
G E N E R A L
General procedures of child and infant resuscitation.
and then open the airways. If the child is not breathing normally perform 5 rescue breaths. Should the
child be still unresponsive after that perform 15 chest compressions and 2 rescue breaths. After one
minute call resuscitation team and then continue CPR.
❥ BREATHING EVALUATION:
Look for chest movements. Listen by the child's nose and mouth for breathing sounds. Feel for air
movement on your cheek. Look, listen and feel for no longer than 10 seconds before deciding that
breathing is absent.
❥ BREATHING PASSAGES, EVALUATION AND RELEASE OF BREATHING PASSAGES:
Unconsciousness may lead to a child's tongue locking and the consequential blockage of the airways. It
is essential to open the airways. Carefully tilt the head backwards by placing one hand on the child's fore-
head and gently tilting the head back. At the same time with your fingertip under the point of the child's
chin, lift the chin. Do not push on the soft tissues under the chin as this may block the airway. If you still
have difficulty in opening the airway, try the jaw thrust method. Place the first two fingers of each hand
behind each side of the child's jaw bone and push the jaw forward
Picture 1 – Release the breathing
passages by tilting the head back-
wards and putting the jaw up. The
first aider uses one hand to bend
the head of the injured person and
stretch the neck. Using the forefin-
ger of the second hand he puts up
the bottom jaw (up and forward).
When the airway is opened for attempted delivery of rescue breaths, look to see if a foreign body can be
seen in the mouth. If an object is seen, attempt to remove it with a single finger sweep. If it appears that the
obstruction has been relieved, open and checks the airway as above. Deliver rescue breaths if the child is
not breathing. If the child regains consciousness and is breathing effectively, place him in a safe side-lying
(recovery) position and monitor breathing and conscious level whilst awaiting the arrival of EMS.
❥ RESCUE BREATHS FOR AN INFANT:
Ensure a neutral position of the head and apply chin lift. Take a breath and cover the mouth and nasal
apertures of the infant with your mouth, making sure you have a good seal. If the nose and mouth
cannot both be covered in the older infant, the rescuer may attempt to seal only the infant's nose or
mouth with his mouth (if the nose is used, close the lips to prevent air escape). Blow steadily into
the infant's mouth and nose over 1-1.5 sec sufficient to make the chest visibly rise. Maintain head
tilt and chin lift, take your mouth away from the victim, and watch for his chest to fall as air comes
out. Take another breath and repeat this sequence 5 times –
moving, the breathing is not effective. If free air circulation cannot be achieved despite the above
C h ild E m ergen cy C are G en e ra l Pro c e dure s
EN
E M E R G E N C Y
P R O C E D U R E S
Picture 2 – Opening the airways by
the jaw thrust method. To thrust the
jaw use two fingers of each hand.
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C A R E
If your baby is unresponsive: shout for help
as shown on pictures 1 and 2.
Picture 3 – Rescue breaths (baby).
The first-aider covers the nose and
mouth of the child with his mouth.
Using one hand he tilts the head of
the child backwards while the sec-
ond hand keeps the jaw upwards.
see pictures 3 and
M F V 5 21 04 N AV- 03 2.0 4
4. If the chest is not
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