Cardiopulmonary Resuscitation for Infants
(Lay Rescuer CPR for Infants)
|Infant Heart and Lung System|
|Infant CPR can keep blood flowing to vital organs until professional help arrives.|
|Copyright © Nucleus Medical Media, Inc.|
Reasons for Procedure
What to Do
Prior to Procedure
- If someone is with you, have them call for medical help right away and get the automatic external defibrillator (AED). An AED is a device that delivers electric shocks to the victim's heart. If you are alone, do CPR for about two minutes before calling for medical help and the AED.
Check to see if the infant is not breathing or only gasping. If this is the case, begin CPR by giving chest compressions:
- Place two fingers on the center of the chest just below the nipple line.
- Compress about 1-½ in (inches) in most infants. Push hard and fast at a rate of at least 100 compressions per minute.
- Allow the chest to rise completely between compressions.
- Minimize interruption between compressions.
- Give 30 compressions.
After 30 compressions, give two rescue breaths:
- Open the airway by gently tilting the head backward.
- Cover the infant's nose and mouth with your mouth.
- Breathe two puffs of air into his mouth and nose. Breathe just until you see the chest rise. Breaths should be about one second each.
- If you are not trained in CPR, continue doing the chest compressions without giving rescue breaths.
- If medical help has not been called, call after five cycles of CPR (about two minutes). Call even if the infant is responding and is breathing on his own.
- Continue cycles of 30 compressions and two breaths until the AED is brought to you, medical personnel arrive, or the infant responds.
- If another person is present, take turns doing the chest compressions to avoid getting tired. If two people are giving CPR, the ratio of chest compressions to breaths is 15 compressions and two breaths.
To use the AED:
- Turn the AED on.
- Attach the pads. Use the child-sized pads if available.
- Follow the prompts. If advised, deliver the shock. If the shock is not advised, the AED will tell you to resume CPR.
How Long Will It Take?
Will It Hurt the Infant?
Call for Help
American Heart Association http://www.heart.org
American Red Cross http://www.redcross.org
Caring for Kids http://www.caringforkids.cps.ca
Health Canada http://www.hc-sc.gc.ca
American Heart Association. 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science: Part 1 executive summary. American Heart Association website. Available at: http://circ.ahajournals.org/cgi/content/full/122/18%5Fsuppl%5F3/S640. Accessed November 16, 2012.
American Heart Association. Heartsaver First Aid with CPR and AED . Dallas, TX: American Heart Association; 2006
Berg MD, Schexnayder SM, et al. Part 13: Pediatric basic life support: 2010 American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation. 2010; 122: S862-S875
Finer NN, Horbar JD, et al. Cardiopulmonary resuscitation in the very low birth weight infant: the Vermont Oxford Network Experience. Pediatrics. 1999;104(3):428-434.
Otero L. What's new in neonatal resuscitation. Duval County Medical Society website. Available at http://www.dcmsonline.org/jax-medicine/2001journals/dec2001/resuscitation.htm. Published December 2001. Accessed November 16, 2012.
Topjian AA, Berg RA, et al. Pediatric cardiopulmonary resuscitation: advances in science, techniques, and outcomes. Pediatrics. 2008 Nov;122(5):1086-98. Review.
- Reviewer: Brian Randall, MD
- Review Date: 03/2013 -
- Update Date: 03/15/2013 -