Treating Symptoms

You can check steps simultaneously

  1. Check consciousness

  • Check safety – if needed bring child to safety
  • Tap child gently as you ask, “Are you Okay?”
  • Check promptly for bleeding or other medical injuries
  1. Check breathing

  • Check if the child/infant chest rises as you place your ear next to the child mouth – is the child breathing?
  1. Begin Chest Compressions

  • If unconscious and/or not breathing
  • Move child’s body without all together onto the child’s back
  • Infant – place 2 fingers on breastbone; Child – heel of 1 hand on center of chest (nipple line)
  • Infant compressions – press 1 ½ inches (1/3 – 1/2 depth) – do not press near edge of breastbone
  • Child compressions – press 2 inches – do not press on ribs
  • Provide compressions at 30:2 and 100-120 per minute
  • Allow full recoil of chest
  • If person isn’t breathing continue until EMS arrives
  1. Provide rescue breathing

  • Tilt head back and lift chin up while pressing down on forehead (do not tilt back if head or neck injuries are suspected)
  • Infant – place mouth over mouth and nose while giving breaths
  • Child – pinch nose and cover mouth with mouth while giving breaths
  • Provide 1 breath for 1 second 2 times
  1. Repeat process if unconscious or not breathing

Call 911 after 2 minutes of CPR

  1. If an AED is available use it

Children ages 9 or younger use a pediatric AED – if unavailable use a standard AED for children older than 1

  • Turn power on
  • Make sure chest is dry and place pads where instructed
  • Follow guide AED instructs
  • Continue CPR and follow AED guide until EMS arrives or child starts breathing

Call 911

  • Perform 2 minutes of CPR on child/infant who’s unresponsive and not breathing – or only gasping
  • If possible have someone else active EMS and locate and automated external defibrillator (AED)
  • Becomes unresponsive or unconscious
  • Collapses
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