728x90
my iParenting
From Our Sponsors
e-newsletters
Sign up to receive our free weekly e-newsletters

new terms of use
new privacy policy
award-winning products
The iParenting Media Awards program helps parents find the best products for their families.

Don't Leave It to Luck

Learn Infant/Child CPR

By Donna Smith and Jessica Williams

Pages:  1  2  3  4  5  

If Pulse Is Felt:

  • DO NOT perform chest compressions.
  • Give one breath once every 4 seconds.
  • Check pulse every 15 breaths.
  • Continue rescue breathing until help arrives or child begins breathing again.

If Pulse Is Absent:

  • Begin chest compressions by placing the heel of one hand over the lower half of the sternum (breastbone) two finger widths above the notch where the sternum and ribs meet. Use only one hand and be sure to use only the heel; do not use your fingers, as you might injure the ribs. Straighten your arm and lock your elbow. Center your shoulders above your hand so compressions are straight down on the sternum. Depress the sternum 1 to 1 1/2 inches. Count compressions aloud to keep rhythm.
  • Give one breath every five compressions. Take your hand off the chest and open the airway to do this. Watch for a chest rise and fall.
  • Check pulse after one minute of chest compressions and rescue breathing. Continue to check pulse every few minutes.
  • Continue compressions and rescue breathing until child revives or help arrives.

These are the basic procedures for infant and child CPR, but written instructions cannot take the place of proper training and practice on dummies. Contact the American Red Cross or your local hospital for information on where to take classes. Be prepared! CPR is an invaluable tool that can save your child's life.

Common Questions Answered

Dr. Paul Pepe, professor of surgery and chairman of emergency medicine (EM) at the University of Texas Southwestern Medical Center, answers some common questions about CPR.

What is the most common mistake a parent makes when their child starts choking?
Not knowing what to do – not being trained and not being prepared ahead of time. But when a young infant chokes, if they're conscious, we actually want the parent to call for help.

Another mistake is trying to stick your fingers down and take out whatever needs to be removed. Sometimes this pushes it down farther. If there is choking and the child is moving some air – it's partially obstructed – unless you can see it right there at the end of the mouth and can pull it out, reaching down to try and get something out with your fingers can actually sometimes make it worse by impacting the item more into the throat. The general advice is that unless it's clearly obvious – it's something you can remove at the edge of the mouth – the best thing to do is call 911 or whomever you have in your local area to get help on the way.

If the child becomes unconscious, or is lifeless and not responding or breathing, that is the time to do CPR. It turns out that the classic CPR we do today, which is grabbing your hands around and with your thumbs in the middle of the chest squeezing on the whole chest, actually will do more to pop it out than most of the other procedures done in the past. In other words, don't do those back slaps or Heimlich on the kids. Doing a journal CPR procedure is the key thing to do.

If I'm alone and don't know CPR and my child begins to choke, what should I do?
If a parent is alone and they don't know CPR, call 911. Most places today have EMD or emergency medical dispatch operations. The dispatchers have instructions that they can read over the telephone. But the bottom-line for everyone is to take courses and learn CPR.

Can a baby be injured if CPR is performed incorrectly on them?
Although theoretically you would think a baby could be injured, surprisingly, studies have shown little evidence that injury occurs through CPR on these ages of children (0 to 36 months). More important, even if there were any injuries that occur, in that situation where CPR is needed and it's life and death, there's no question that the trade off between an injury and a life being saved is well worthwhile.

Where and when should I take CPR?
Most hospitals will offer the course before the birth of your baby, or you can call the American Red Cross. The best time to learn CPR is yesterday. We generally recommend a refresher course because we've recently changed the guidelines, although minimally, but it's so easy to learn it's always easy to go back. Data has shown that in cases of drowning, 80 percent of children can be resuscitated if CPR is started right away, and the children are neurologically intact. I'd rather give my child an 80 percent chance of making it rather than a 60 percent chance. But most important, take that first course; it'll show you what to do.


Pages:  1  2  3  4  5  

Want to see more?

Comments

There are no comments for this article yet.Be the first to add a comment.

Post As:
Enter your comment below:
Title
Comment Text
CAPTCHA
Please note that any comments submitted become the property of Disney Family / iParenting and can be edited and posted at our discrection.