ProCPR.org

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All right, now let's cover infant rescue breathing.

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This is going to be used when you have a baby who is not breathing or not breathing normally, but they

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do have a brachial pulse. Now, in this scenario, we have assessed the scene. The scene is safe, gloves are on.

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Our CPR shield is available. We check to see if the baby is responsive. They're not responsive.

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We can see that they're not breathing. We activate the emergency medical services or call a code.

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We check a brachial pulse for no more than ten seconds. I do feel a pulse easily in the brachial artery,

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but the baby is still not breathing. So I'm going to begin rescue breathing. I'm going to cover the

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mouth and the nose of the baby with a mask, sealing all the way around, tilting the head back into a neutral

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position, giving one breath every 3 seconds for about 2 minutes. Checking for chest rise and fall

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and readjusting the head until you get good air into the lungs, getting a good chest rise and fall.

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After two minutes, I'm going to re-assess the brachial artery. If I do not feel a pulse, I'm going to move right into CPR.

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If I feel a pulse but there's still no breathing, continue rescue breathing, one breath every

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3 seconds for 2 minutes. After 2 minutes, re-assess the pulse. We're only going to stop rescue breathing

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and checking pulses when an AED arrives and we hook them up to the AED; when they're pulseless;

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and/or when EMS or the next level of care arrives.

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Baby, baby, are you alright, are you ok? There is no response. They don't appear to be breathing.

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Go activate the emergency medical services or call 911 or call a code. Checking a brachial pulse. I can easily feel a pulse, but they're not breathing.

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I'm going to do this for about 2 minutes then check a pulse. If the pulse is still present but the baby's not breathing,

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I'll continue rescue breathing 1 breath every 3 seconds for another 2 minutes.

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If the pulse is gone and the baby is not breathing I'm going to start CPR.

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I'll do this until an AED arrives on the pulseless baby or until Emergency Medical Services arrive and takes over.