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Having to resuscitate children or infants is one of the worst things you could have to deal with. Many children do not receive resuscitation because potential CPR providers fear causing harm if they're not specially trained in resuscitation for children. This fear is unfounded. It's far better to use the adult BLS sequence for resuscitation for a child than do nothing. For ease of teaching and retention, laypeople are taught that the adult sequence may also be used for children who are not responsive and not breathing normally. In other videos, we'll discuss chest compressions and state that you compress the chest by at least one-third of its depth, it's hard to imagine how far this is, so push down approximately four centimetres for an infant and approximately five centimetres for a child. With the compression, use two fingers for an infant under one year old, and use one or two hands as needed for a child between the age of 1 and 18 years to achieve adequate depth of compression, whether you use one hand or two hands on the child is up to you. The end result is the same. Do what's easiest for you and most suited for the size of the child. When delivering the breaths, you should deliver these for about one second just until you see the chest rise and the maximum time from the last compression to the first of the next cycle is 10 seconds, but usually shorter, this is to limit the interruption in compressions and the flow of blood to the vital organs.
Child and Infant Resuscitation Guidelines
The Challenge of Resuscitating Children and Infants
Resuscitating children or infants can be a daunting task, but it's essential to know the proper techniques.
Overcoming the Fear of Causing Harm
Dispelling Misconceptions: Many hesitate to perform CPR on children due to the fear of causing harm, but using the adult BLS sequence is better than doing nothing.
Adaptation for Laypeople: Laypeople are taught that the adult sequence can be used for unresponsive children not breathing normally.
Proper Chest Compressions
Compression Depth: When performing chest compressions, aim for at least one-third of the chest's depth, approximately four centimetres for an infant and around five centimetres for a child.
Technique Variation: For infants under one year old, use two fingers; for children aged 1 to 18 years, use one or two hands as needed, based on the child's size and your comfort.
Effective Ventilation
Breath Delivery: Provide breaths for about one second, ensuring the chest rises.
Timing: Maintain a maximum of 10 seconds between the last compression and the first breath in each cycle to minimize interruptions and maintain vital organ blood flow.
Following these guidelines is crucial for successful child and infant resuscitation.