When performing rescue breathing on a child who loses her pulse What is your next action?

Q: When performing rescue breaths on a child you should?

Blow a breath steadily into the babys mouth and nose over 1 second. It should be sufficient to make the chest visibly rise. Keeping their head tilted and chin lifted, take your mouth away and watch for the chest to fall as air comes out. Take another breath and repeat this sequence 4 more times.

Your Care Instructions

CPR (cardiopulmonary resuscitation) is pushing down on a person's chest and breathing into his or her mouth. It's used in emergencies when someone's heart stops beating, or when he or she is not breathing normally (may be gasping for breath) or is not breathing at all.

Inhaltsverzeichnis Show

Your Care Instructions
How to do rescue breathing and CPR
Where can you learn more?
Child and baby CPR steps
1. Ensure the area is safe
2. Check your child's responsiveness
3a. If your child responds by answering or moving
3b. If your child does not respond
4. Check their breathing
5a. If your child is breathing normally
5b. If your child is not breathing or is breathing infrequently and irregularly
5c. Obstructed airway
6. Assess the circulation (signs of life)
7. Chest compressions: general guidance
8. Continue resuscitation until
Further information on first aid
When giving care to child no pulse no breathing What is your next step?
What to do if someone has no pulse but is breathing?
How do you deliver rescue breaths to a child that has a pulse?
When performing rescue breaths on a child you should?

Most children never need rescue breathing or CPR. But if they do, the best thing you can do is be prepared. Talk to your doctor or take a class to learn how to do rescue breathing and CPR, and then use these instructions as a reference.

Automated external defibrillators (AEDs) are in many public places. Before you use an AED, follow all the steps for CPR.

To use an AED, place it next to the child and turn it on. The AED will tell you what to do next.

How to do rescue breathing and CPR

Step 1: Check to see if the child is conscious.

Tap or gently shake the child and shout, "Are you okay?" to see if the child responds. But do not shake a child who might have a neck or back injury. That could make it worse.

If the child does not respond, send someone to call 911 (if you are not alone). Then start CPR. But if you are alone, start CPR. Do CPR for 2 minutes. Then call 911.

Step 2: Start chest compressions.

Kneel next to the child. Use your fingers to locate the end of the breastbone, where the ribs come together. Place two fingers at the tip of the breastbone.
Put the heel of one hand just above your fingers on the centre of the child's chest between the nipples.
Use the heel of one hand to give compressions. If you need more force for a larger child, use both hands as you would for an adult.
Position your arms and body for doing chest compressions: Straighten your arm, lock your elbow, and centre your shoulders directly over your hand.
Press down in a steady rhythm, using your body weight. The force from each thrust should go straight down onto the breastbone. Press the chest down at least one-third of its depth (about 5 centimetres).
If you are not trained in rescue breathing, give at least 100 chest compressions a minute (between 1 and 2 times a second). If you are trained in rescue breathing, give 30 compressions, then 2 rescue breaths. Rescue breathing may be more important to do for children than adults.
If you are not giving rescue breaths, keep giving at least 100 chest compressions a minute until help arrives or the child is breathing normally. If you are giving rescue breaths, keep repeating the cycle of 30 compressions and 2 rescue breaths until help arrives or the child is breathing normally.

Step 3: Rescue breaths.

To do rescue breaths, put one hand on the child's forehead, push with your palm to tilt the child's head back, and then pinch the child's nostrils shut with your thumb and finger. Put the fingers of your other hand under the bony part of the child's lower jaw near the chin. Tilt the chin upward to keep the airway open.
Take a normal breath (not a deep one), and place your mouth over the child's mouth, making a tight seal. Blow into the child's mouth for 1 second, and watch to see if the child's chest rises.
If the chest does not rise, tilt the child's head again, and give another breath.
Between rescue breaths, remove your mouth from the child's mouth and take a normal breath. Let the child's chest fall, and feel the air escape.

If the child is breathing, watch for any changes until emergency services arrive.

Talk with your doctor or nurse if you have questions about how to do rescue breathing and CPR.

Follow-up care is a key part of your child's treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse call line if your child is having problems. It's also a good idea to know your child's test results and keep a list of the medicines your child takes.

Where can you learn more?

Go to https://www.healthwise.net/patientEd

Enter K315 in the search box to learn more about "Learning About Rescue Breathing and CPR for Children".

This page provides the full detailed cardiopulmonary resuscitation (CPR) sequence for infants (babies under 1 year old) and children.

It's highly recommended that every parent or carer goes on a first aid course, as it makes this process much easier to understand and remember.

If a baby or child is unresponsive and not breathing normally, call 999 and start CPR straight away.

When you call 999 for an ambulance, you should be given basic life-saving instructions over the phone, including advice about CPR.

Child and baby CPR steps

1. Ensure the area is safe

Check for hazards, such as electrical equipment or traffic.

2. Check your child's responsiveness

Gently stimulate your child and ask loudly: "Are you alright?"

3a. If your child responds by answering or moving

Leave them in the position they were found in (provided they're not in danger).
Check their condition and get help if needed.
Reassess the situation regularly.

3b. If your child does not respond

Call for help.
Carefully turn the child on their back.

If the child is under 1 year old:

Ensure the head is in a neutral position, with the head and neck in line.
At the same time, with your fingertips under the point of your child's chin, lift the chin. Do not push on the soft tissues under the chin as this may block the airway.

If the child is over 1 year old:

Open your child's airway by tilting the head and lifting the chin.
To do this, place your hand on their forehead and gently tilt their head back.
At the same time, with your fingertips under the point of your child's chin, lift the chin. Do not push on the soft tissues under the chin as this may block the airway.

If you think there may have been an injury to the neck, tilt the head carefully, a small amount at a time, until the airway is open. Opening the airway takes priority over a possible neck injury.

4. Check their breathing

Keeping the airway open, look, listen and feel for normal breathing by putting your face close to your child's face and looking along their chest.

Look for chest movements.
Listen at the child's nose and mouth for breathing sounds.
Feel for air movement on your cheek.

Look, listen and feel for no more than 10 seconds before deciding that they're not breathing. Gasping breaths should not be considered to be normal breathing.

5a. If your child is breathing normally

Turn them on their side.
Check for continued breathing.
Send or go for help – do not leave your child unless absolutely necessary.

5b. If your child is not breathing or is breathing infrequently and irregularly

Carefully remove any obvious obstruction in the mouth.
Give 5 initial rescue breaths (mouth-to-mouth resuscitation).
While doing this, note any gag or cough response – this is a sign of life.

Rescue breaths for a baby under 1 year

Ensure the head is in a neutral position and lift the chin.
Take a breath, then cover your baby's mouth and nose with your mouth, making sure it's sealed. If you cannot cover both the mouth and nose at the same time, just seal either with your mouth. If you choose the nose, close the lips to stop air escaping.
Blow a breath steadily into the baby's mouth and nose over 1 second. It should be sufficient to make the chest visibly rise.
Keeping their head tilted and chin lifted, take your mouth away and watch for the chest to fall as air comes out.
Take another breath and repeat this sequence 4 more times.

Rescue breaths for a child over 1 year

Tilt the head and lift the chin.
Close the soft part of their nose using the index finger and thumb of the hand that's on their forehead.
Open their mouth a little, but keep the chin pointing upwards.
Take a breath, then place your lips around their mouth, making sure it's sealed.
Blow a breath steadily into their mouth over about 1 second, watching for the chest to rise.
Keeping their head tilted and chin lifted, take your mouth away and watch for the chest to fall as air comes out.
Take another breath and repeat this sequence 4 more times. Check that your child's chest rises and falls in the same way as if they were breathing normally.

5c. Obstructed airway

If you have difficulty achieving effective breathing in your child, the airway may be obstructed.

Open the child's mouth and remove any visible obstruction. Do not poke your fingers or any object into the mouth.
Ensure there's adequate head tilt and chin lift, but the neck is not overextended.
Make up to 5 attempts to achieve effective breaths (enough to make the chest visibly rise). If this is still unsuccessful, move on to chest compressions combined with rescue breaths.

6. Assess the circulation (signs of life)

Look for signs of life. These include any movement, coughing, or normal breathing – not abnormal gasps or infrequent, irregular breaths.

Signs of life present

If there are definite signs of life:

Continue rescue breathing until your child begins to breathe normally for themselves.
Turn the child on their side into the recovery position and send for help.
Continue to check for normal breathing and provide further rescue breaths if necessary.

No signs of life present

If there are no signs of life:

Start chest compressions immediately.
Combine chest compressions with rescue breaths, providing 2 breaths after every 30 compressions.

7. Chest compressions: general guidance

To avoid compressing the stomach, find the point where the lowest ribs join in the middle, and then 1 finger's width above that. Compress the breastbone.
Push down 4cm (for a baby or infant) or 5cm (a child), which is approximately one-third of the chest diameter.
Release the pressure, then rapidly repeat at a rate of about 100-120 compressions a minute.
After 30 compressions, tilt the head, lift the chin, and give 2 effective breaths.
Continue compressions and breaths in a ratio of 2 breaths for every 30 compressions.

Although the rate of compressions will be 100-120 a minute, the actual number delivered will be fewer because of the pauses to give breaths.

The best method for compression varies slightly between infants and children.

Chest compression in babies less than 1 year

Do the compressions on the breastbone with the tips of 2 fingers, not the whole hand or with both hands.
The quality (depth) of chest compressions is very important. If the depth of 4cm cannot be achieved with the tips of 2 fingers, use the heel of 1 hand.

Chest compression in children over 1 year

Place the heel of 1 hand over the lower third of the breastbone.
Lift the fingers to ensure pressure is not applied over the ribs.
Position yourself vertically above the chest and, with your arm straight, compress the breastbone so you push it down 5cm, which is approximately one-third of the chest diameter. The quality (depth) of chest compressions is very important.
In larger children or if you're small, this may be done more easily by using both hands with the fingers interlocked, avoiding pressure on the ribs.

If you had no response to your call for help and you're alone, continue resuscitation for about 1 minute before trying to get help – for example, by calling 999.

8. Continue resuscitation until

Your child shows signs of life – normal breathing, coughing, movement of arms or legs.
Qualified help arrives.

Further information on first aid

St John Ambulance: How to do baby CPR
St John Ambulance: How to do CPR on a child
British Red Cross: First aid training courses

When giving care to child no pulse no breathing What is your next step?

Learn first aid for a child who is unresponsive and not breathing.

Check for breathing by tilting their head back and looking, listening and feeling for breaths. ... .

Tell someone to call 999. ... .

Give five rescue breaths: tilt their head back, seal your mouth over their mouth and pinch their nose..

What to do if someone has no pulse but is breathing?

If there is no pulse or breathing within 10 seconds, begin chest compressions. Start CPR with 30 chest compressions before giving two rescue breaths.

How do you deliver rescue breaths to a child that has a pulse?

Tilt the chin upward to keep the airway open. Take a normal breath (not a deep one), and place your mouth over the child's mouth, making a tight seal. Blow into the child's mouth for 1 second, and watch to see if the child's chest rises. If the chest does not rise, tilt the child's head again, and give another breath.

When performing rescue breaths on a child you should?

Blow a breath steadily into the baby's mouth and nose over 1 second. It should be sufficient to make the chest visibly rise. Keeping their head tilted and chin lifted, take your mouth away and watch for the chest to fall as air comes out. Take another breath and repeat this sequence 4 more times.