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- Check for response
- If no response i.e. unresponsive and lack of normal breathing i.e. no breathing or only gasping, then
- Activate EMS (Emergency Medical Services) and get or call for AED (automated external defibrillator), (only if 2 rescuer present).
- Immediately start the chest compressions
- For one rescuer: Position two fingers in the center of the chest below the nipple line
- Start compression (1 1/2 inches or at least 1/3 rd the depth of the chest) at least 100 per minute. Allow complete chest recoil after each compression to allow heart to refill with blood.
- 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)
- Use mouth to mouth and nose technique i.e. cover infant's entire mouth and nose with your mouth.
- Give 2 breaths, each for 1 second duration, 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 i.e. ratio of 30:2
- Leave to activate emergency medical services and to get AED after 5 cycles or after 2 minutes (only if 1 rescuer present and the EMS has not been activated)
- AED with pediatric pads should be used as soon as it is available (manual defibrillator is preferred), resume chest compressions immediately after the shock is given.
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