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- If the infant collapses /becomes unconscious, then activate emergency medical services (if two rescuers/persons are present)
- For one rescuer, immediately start CPR (without a pulse check)
- Position two fingers in the center of the chest below the nipple line
- Start compressions (1 1/2 inches or 1/3 the depth of the chest) at 100 per minute.
- After 30 compressions, open airway – Head tilt-chin lift (push the forehead back with one hand and lift the chin to move the jaw forward with the other hand)
- Check for an object in the mouth, and if you see an object then remove it.
- Use mouth to mouth and nose technique i.e. cover infant's entire mouth and nose with your mouth.
- Give 2 breaths, each for a 1-second duration, and look for chest rise. If the first breath doesn't make the chest rise and fall, then reposition the head i.e. head tilt-chin lift, and re administer the breaths. Give one breath, every 3-5 second intervals (12-20 breaths per minute).
- Continue 30 compressions followed by 2 ventilations (check for an object in the mouth each time before the ventilation, and if you see an object then remove it) i.e. ratio of 30:2, until AED or EMS arrives.
- AED should be used as soon as it is available. Resume chest compressions immediately after the shock is given ( minimize interruptions )
- Leave to activate emergency medical services and to get AED after 5 cycles or after 2 minutes (only if one rescuer/person is present and EMS has not been activated)
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