1
00:00:02,290 -->
00:00:07,879
Now we're going to cover the unconscious child
choking for the healthcare professional. In
2
00:00:07,879 -->
00:00:12,200
this scene setup, we had a conscious child
who was choking but we didn't get the obstruction
3
00:00:12,200 -->
00:00:17,110
out in time and so they went unresponsive.
After we helped lower them to the ground,
4
00:00:17,110 -->
00:00:21,919
we took advantage of that time that if we
had not already called EMS or called 911 or
5
00:00:21,919 -->
00:00:27,430
a code, we're going to do so now. Hey you
in the plaid shirt, go call 911 and come back.
6
00:00:27,430 -->
00:00:32,940
Bring in the AED with you if you find one.
And then we're going to go into our responsiveness.
7
00:00:32,940 -->
00:00:40,220
The child does not respond. They are not breathing
normally, so I go right into my chest compressions.
8
00:00:40,220 -->
00:00:44,640
Right between the breasts, on the lower third
of the sternum. I'm going to go approximately
9
00:00:44,640 -->
00:00:49,560
a third of the depth of the chest and I'm
going to compress at a rate between 100 and
10
00:00:49,560 -->
00:00:56,190
120 times per minute. One and two and three
and four and five and six and seven and eight
11
00:00:56,190 -->
00:01:06,900
and nine and ten. 11, 12, 13, 14, 15, 16,
17, 18, 19, 20. 21, 22, 23, 24, 25, 26, 27,
12
00:01:06,900 -->
00:01:14,030
28, 29, 30. I now come up. I do a head tilt
chin lift and I look in the mouth. If I don't
13
00:01:14,030 -->
00:01:21,470
see anything, I'm going to attempt to rescue
breath. Nothing goes in. I reposition the
14
00:01:21,470 -->
00:01:29,350
head again with the chin down, chin back up
and try again. But nothing goes in. I repeat
15
00:01:29,350 -->
00:01:35,960
those 30 chest compressions. After the 30
chest compressions I look in the mouth and
16
00:01:35,960 -->
00:01:42,409
if I see something, I'm going to go in after
it. Pull the object out and now attempt my
17
00:01:42,409 -->
00:01:53,689
rescue breath. Breath went in. Second breath
went in. Now is when I'm going to check for
18
00:01:53,689 -->
00:01:59,450
a carotid pulse. I assess for the carotid
pulse in the same location that I did for
19
00:01:59,450 -->
00:02:08,349
the adult. Between the trachea and sternocleidomastoid
muscle, right on the carotid artery. I check
20
00:02:08,349 -->
00:02:16,260
for no more than ten seconds. Now if the patient
did not have a heartbeat or a pulse, we would
21
00:02:16,260 -->
00:02:22,029
go straight into CPR with 30 compressions
and two rescue breaths. If they do have a
22
00:02:22,029 -->
00:02:26,549
pulse but are simply not breathing or not
breathing normally, we're going to give one
23
00:02:26,549 -->
00:02:33,400
rescue breath every three seconds and we're
going to do this for two minutes. After two
24
00:02:33,400 -->
00:02:37,569
minutes of rescue breaths, we're going to
check for a carotid pulse. Again, no more
25
00:02:37,569 -->
00:02:42,189
than ten seconds on the pulse check. If at
that time they still have a pulse but are
26
00:02:42,189 -->
00:02:46,609
not breathing we're going to continue rescue
breathing. If they don't have a pulse, they're
27
00:02:46,609 -->
00:02:51,419
not breathing, we're going to go into full
CPR and give them 30 compressions to two rescue
28
00:02:51,419 -->
00:02:58,889
breaths and we're going to do that until EMS
arrives, an AED arrives or my patient responds
29
00:02:58,889 -->
00:02:59,719
and revives.
