When performing chest compressions for an infant in a 2 rescuer situation you should pit 2?

When performing chest compressions for an infant in a 2 rescuer situation you should pit 2?
1. Shout and Tap

Shout and gently tap the child on the shoulder. If there is no response and not breathing or not breathing normally, position the infant on his or her back and begin CPR.

When performing chest compressions for an infant in a 2 rescuer situation you should pit 2?
2. Give 30 Compressions

Give 30 gentle chest compressions at the rate of 100-120/minute. Use two or three fingers in the center of the chest just below the nipples. Press down approximately one-third the depth of the chest (about 1 and a half inches).

When performing chest compressions for an infant in a 2 rescuer situation you should pit 2?
3. Open The Airway

Open the airway using a head tilt lifting of chin. Do not tilt the head too far back

When performing chest compressions for an infant in a 2 rescuer situation you should pit 2?
4. Give 2 Gentle Breaths

If the baby is not breathing or not breathing normally, cover the baby's mouth and nose with your mouth and give 2 gentle breaths. Each breath should be 1 second long. You should see the baby's chest rise with each breath.


CONTINUE WITH 30 PUMPS AND 2 BREATHS UNTIL HELP ARRIVES

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When performing chest compressions for an infant in a 2 rescuer situation you should pit 2?

  • To provide external chest compressions in a patient with no pulse in order to create blood flow to vital organs and/or sustain a shockable rhythm

Patient Factors & Considerations

  • Swap compressors every 2 minutes due to fatigue and degraded compression quality.
  • Adopt correct posture (4) at patient’s left.
  • Minimise interruptions and limit them to 3 seconds maximum wherever possible.
  • Compressions on non-supine patients OR on non-rigid surfaces are usually ineffective.

  • Position the patient supine on a firm flat surface. Prepare in line with IMPACT CPR principles:
    • Create or move to a good working space with 360° access where possible in a timely manner
    • Feedback and CPR quality devices MUST be used where available.

  • Begin high quality, focused compressions with minimal interruptions immediately.
Newborn or infant The two thumb technique (1) is preferred with 2 rescuers. The hands encircle the chest and the thumbs compress the lower sternum.
The two finger technique to minimise the transfer time between compressions and ventilations where only 1 rescuer.
Child Compressions are to be performed with the heel of one hand (2) in the centre of the chest.
Adult Utilise the two handed technique (3) with hands positioned in the centre of the chest.
  • Compression depth is approximately ⅓ the depth of the chest. CPR Feedback devices MUST be used where available.
Infant Approximately 4 cm
Child < 12 years Approximately 5 cm
Adult More than 5 cm
  • Allow the chest to fully recoil after each compression.
  • Target compression rate is:
Newborn < 3 hours 3 : 1 (90 / minute)
Infant / Child < 12 years 15 : 2 (100 - 120 / minute)
Adult 30 : 2 (100 - 120 / minute)
  • The compression to ventilation radio (i.e. 15:2, 30:2) is best defined as 15/30 compressions to 2 seconds pause, to facilitate ventilation. Recommence CPR at 2-3 seconds regardless and do not wait for 2 breaths to be completed.

Focused Compressions

The compressor should never be distracted and must not try to co-ordinate events whilst performing this skill as this leads to degraded performance.

  • Rate: Compression rates are those advocated by the ARC. Use a metronome where available (Corpuls3 has this enabled). The St. John First Responder App has a metronome in the Toolbox, set at 110 beats per minute.
  • Depth: The ARC recommends a depth > 5 cm in adults. In children, the recommended depth is 5cm and in 4cm in infants1. Superficial depth is associated with lower survival probability.
  • Recoil: Also referred to as leaning or release, the chest MUST be fully released on the upstroke / decompression phase. Rapid release creates negative pressure that promotes blood return to the thorax, and coronary perfusion. This can prolong shockable rhythms, which improves likelihood of a successful defibrillation. 
  • Hand Position: The ARC recommend the centre of the chest. Too high is ineffective and too low may precipitate regurgitation.
  • Minimal Interruptions: Maximising time on chest with excellent compressions ensures that the blood pressure created is sustained as best as possible. By pausing for as little as 3 seconds, perfusion pressure can be lost completely and it is estimated to take 15 – 20 chest compressions to re-establish adequate perfusion pressure again.

  1. CorPuls CorPatch CPR Feedback Device
    When performing chest compressions for an infant in a 2 rescuer situation you should pit 2?
  2. Philips Q-CPR CPR Meter
    When performing chest compressions for an infant in a 2 rescuer situation you should pit 2?
  3. Two-thumb / two-finger compression technique, centre of the chest on a newborn/infant
    When performing chest compressions for an infant in a 2 rescuer situation you should pit 2?
  4. Single-handed compression technique on a child, hand positioned in the centre of the chest
    When performing chest compressions for an infant in a 2 rescuer situation you should pit 2?
  5. Two-handed compression technique on an adult, hands positioned in the centre of the chest
    When performing chest compressions for an infant in a 2 rescuer situation you should pit 2?
  6. Correct position
    When performing chest compressions for an infant in a 2 rescuer situation you should pit 2?

Australian Resuscitation Council (2016). Guideline 6 - Compressions.

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When performing chest compressions for an infant in a 2 rescuer situation you should put 2?

The 2-thumb–encircling hands technique (Figure 4) is recommended when CPR is provided by 2 rescuers. Encircle the infant's chest with both hands; spread your fingers around the thorax, and place your thumbs together over the lower third of the sternum. Forcefully compress the sternum with your thumbs.

When performing chest compressions for an infant in a 2 rescuer situation you should put 2 fingers in the center of the chest on the lower half of the breastbone?

For children younger than 1 year, position 2 fingers in the center of the chest just below the nipple line. An infant's body is much smaller, so you only need to use 2 fingers for compressions instead of your hands. Aim for a compression depth about 1.5 inches or 1/3 the depth of the child's chest.

What is the correct way to give compressions to an infant during 2 rescuer CPR?

Two-Responder CPR Technique for Infants Conduct compressions that go to a depth of 1/3 of the infant's chest cavity, which should be around 1.5 inches deep, and at a rate of between 100 and 120 compressions per minute, which amounts to two compressions per second. Perform 15 chest compressions.

When performing chest compressions for an infant you can use two thumbs or put two blank in the center of the chest just below the blank line?

Kneel or stand next to the baby after putting him or her on a flat surface. Picture a line connecting the nipples, and place two fingers on the baby's breastbone just below that line. Use just your two fingers to press the chest at least one-third of the depth of the baby's chest [about 4 cm (1.5 in.)].