Infant CPR Cardiac arrest in infants usually results from respiratory arrest, not from a cardiac problem. Common causes include choking, injury, SIDS, and respiratory illness. With CPR, a rescuer may be able to restore normal breathing without the use of an AED. Infant Age: up to 1 year old Scene Safety: Quickly survey the scene before you enter. Check Response and Activate EMS: • Tap the bottom of the foot and shout. • If no response, yell for help. Send a bystander to call 9-1-1. • If alone, stay with the infant. Check Breathing: • Scan for breathing for 5-10 seconds.
• If no breathing or only gasping, start compressions.
C: Compressions Perform 30 chest compressions with 2 fingers. • Position the victim face up on a firm, flat surface. • Quickly remove clothing from the front of the chest if it may interfere with compressions. • Place 2 fingers in the center of the chest just below the nipple line. • Compress the chest 30 times. • Rate: At least 100/minute • Depth: About 1 1/2” Push hard and fast. Allow full recoil between each compression. Minimize interruptions to compressions.
30 chest compressions
Open the airway using the head tilt/chin lift maneuver. • Place 1 hand on the forehead and apply firm pressure to tilt the head back slightly. • Use 2 or 3 fingers of your other hand to lift the chin. Do not tilt the infant’s head too far back. Since the infant’s airway is not fully developed, overextending the airway can cause it to close.
Head tilt/chin lift
The percentage of car and booster seats that are installed incorrectly.
Estimated number of lives saved each year in the U.S. by car and booster seats.
Infant CPR B: Breathing Provide 2 rescue breaths. It should take less than 10 seconds to stop compressions, give 2 breaths, and resume compressions. Do not over-inflate the lungs; only provide enough air to cause the chest to rise. • Maintain an open airway position. • Inhale a regular-sized breath. • Create a seal around the mouth and nose. • Exhale for about 1 second each breath. • Watch for chest rise. If the chest won’t rise, reposition the head and try again. Retry only once before resuming chest compressions. 2 rescue breaths
Continue CPR Continue cycles of 30 compressions to 2 breaths. • If you are alone, provide CPR for about 2 minutes (5 cycles of 30:2) before leaving to activate EMS. • Continue CPR if EMS has already been activated. • Minimize interruptions to chest compressions. Avoid fatigue: If an additional rescuer is present, change rescuers every 5 cycles (about every 2 minutes). Give feedback on the quality of compressions to the rescuer performing CPR. Continue CPR
Call 9-1-1 After 2 minutes, call 9-1-1 (activate EMS) if not already done by a bystander. Continue CPR until professional responders arrive and take over. Use an AED as soon as it’s available. • Turn on the AED. • Apply the pads. • Clear the victim if a shock is advised. • Immediately resume compressions.
Call 9-1-1 (activate EMS)
The quality of chest compressions may deteriorate quickly, even when performing compressions on an infant.
If you’re alone, consider carrying the infant to the phone after 2 minutes of CPR.