NCM 109A -SKILLS

CARDIOPULMONARY RESUSCITATION

 is a lifesaving technique useful in many emergencies

including heart attack or near drowning, in which
someone’s breathing or heartbeat has stopped.
CPR
 =an infant or a child who needs CPR typically suffers
from hypoxia caused by respiratory difficulty or
respiratory arrest.
CPR
 Most pediatric crises requiring CPR are preventable:
They include:
 -motor vehicle accidents

 -drowning

 -Burns

 -Smoke inhalation

 -poisoning

 -suffocation

 choking
INITIAL STEPS
 1. Determine the need for resuscitation
 2. If the infant is unresponsive, call for help

 3. On a firm flat surface, gently tips the head back by

lifting the chin one hand and pushing down on the
forehead with the other hand
 4. Places ear near infants mouth and cheeks for
breathing: Look’s for chest motion, Listens for breath
sounds, and FEEls for breath on the cheek.
 5. If the infant is not breathing proceeds to clear the
airway.
AIRWAY
 6. Places the infant face down on one arm with the head
lower then trunk ,(using the forearm supported by the
thigh)

 7. Uses the heel of free hand to deliver five blows

between the infant’s shoulder blades.
 8. If airway remains obstructed, flips the infant onto his
back ( sandwiched by hand and forearm)

 9. Positions and keeps the infant’s head lower than his

trunk.

 10. Holds the infant’s head firmly with one hand and
provides five midsternal chest thrusts using the middle
and ring fingers of the other hand.
 11. Look’s in the airway and removes any object SEEN
with the fingers.

 12. Repeats the sequence until the obstruction is

dislodged
VENTILATION:
 13. Position the infant on a flat ,firm surface.

 14. Opens the infant’s airway ( mouth)

 15. Takes a breath,slightly seals mouth over the infant’s

nose and mouth and delivers two breaths ( two gentle
puffs of air).

 16. if the chest does not rise,repeat the sequence

 starting at step 6.
 17. Assess the infant pulse by palpating the brachial
artery

 18. If pulse is greater than 60 bpm: continues

 rescue breathing( one breath every 3 seconds)

 19. If pulse is less than 60 bpm or absent: initial

compression.
CIRCULATION
 20.Properly locates area of compression

 21. Places middle and ring fingers one finger breath

below the nipple line.

 22. Begin compression by depressing the sternum ½ to 1

inch

 23. Supplies 2 breath after every 30 compressions

( compression-ventilation ratio of 30-2)
 24. Continues compression and ventilation until pulse is
60 bpm or until help arrives.

 25. Documents all events of resuscitation ( names of

individuals present,where the arrest occurred,time CPR
began,length of procedure outcomes,any complications
and actions taken to correct them)