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Now in this segment we're gonna be covering
infant two rescuer healthcare provider CPR.
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And I should talk about some of the different
nuances when you add a second trained rescuer
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to infant CPR. Number 1, you have somebody
else equally trained that can share the responsibilities,
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that's true. But the difference between an
adult versus an infant is that we're going
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to change the technique we use to do the compressions
if we can. Now, though we are going to be
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doing circumferential compressions with our
thumbs that does not mean that if you have
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thumb problems, arthritis or loss of thumb,
that you can't revert back to using the fingers.
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That's allowable as well. But the difference
here is that you have somebody who's gonna
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be able to do the rescue breaths while you
concentrate on the compressions. Now, another
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difference is that we go from 2 breaths in
30 compressions down to 2 breaths and 15 compressions
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when we have a second rescuer helping us.
The rest of the scenario works pretty much
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the same. If we begin to fatigue and we're
unable to continue the compressions we can
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call out to switch, change positions and switch
roles as rescuers. But everything else kinda
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remains the same. So here we go: Our scene
is safe, our gloves are on, we have a bag-
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valve mask to do respirations. We're gonna
call out to the baby: "Hey baby, are you OK?"
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Stimulate with taping of the feet or rubbing
the chest, "Are you all right?" There's no
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response. "You in the plaid shirt, go call
911 and come back and when you come back bring
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an AID, if you can find one, or call a code."
Now that that's done, we're going to assess
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for normal breathing and we're gonna check
for brachial pulse. We check for brachial
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pulse for no more than 10 seconds. If the
pulse rate is below 60 bits per minute I'm
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gonna begin CPR. If the pulse rate is above
60, we're gonna do rescue breathing, but in
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this case there's no pulse, no regular breathing.
So here we go: We're going right into chest
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compressions, find in the nipple line and
dropping my 2 fingers down if I can use my
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thumbs or I'm gonna come around and actually
use my thumbs and warp my fingers around the
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chest of the baby. 1 and 2 and 3 and 4 and
5 and 6 and 7 and 8, 9 and 10, 11, 12, 13,
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14, 15 Speaker 2: Breath, breath. Speaker
1: Both breaths went in so I continue my compressions...5
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and 6 and 7 and 8, 9 and 10, 11, 12, 13, 14,
15 Speaker 2: Breath, breath. Speaker 1: Continue
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with this cycle. If I start to fatigue and
I will fatigue I'm gonna say, "Jody, we got
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to change after this set." Change...2 and
3 and 4 and 5 and 6 and 7 and 8, 9 and 10,
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11, 12, 13, 14, 15. He delivers 2 more rescue
breaths and then we switch. Speaker 2: 1 and
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2 and 3 and 4 and 5 and 6 and 7 and 8, 9 and
10, 11, 12, 13, 14, 15 Speaker 1: Baby breath
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and another baby breath Speaker 2: 1 and 2
and 3 and 4 and 5 and 6 and 7 and 8... Speaker
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1: So we're gonna continue this compression
to rescue breath sequence with changes ever
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so often as we fatigue probably every 2 minutes
max, so that we're able to stay as strong
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as we can to do consistent compressions and
we're gonna do this until EMS or help arrives,
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an AID arrives or the baby revives.