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How to Perform CPR on an Infant (0-1 year old)?

Last Updated on: September 11, 2024

Table of Contents

  1. Introduction 
  2. Understanding Infant CPR
  3. Steps to Take Before Starting CPR
  4. Performing Chest Compressions
  5. How Many Compressions For Infant CPR in The Initial Maneuvers? 
  6. Common Mistakes to Avoid When Giving CPR
  7. Special Considerations for Infant CPR
  8. Importance of CPR Training:
  9. Final Thoughts

Infants can be victims of any mishap at any time as they are not aware of differentiating between right and wrong. Thus, parents and caregivers must learn how to perform infant CPR. In emergencies, one has to act fast because time is of the essence, and infants have tender and fragile bodies. 

Cardiopulmonary Resuscitation for infants varies from that of adults in terms of techniques and pressure that has to be applied. About 7000 children are reported to have out-of-hospital cardiac arrests in the United States each year, stressing the need to learn how to handle such situations. 

To familiarize you with CPR for infants aged 0-1 years, below is a step-by-step guide that can help you be ready for any scenario.

 

Understanding Infant CPR

Baby CPR is defined as cardiopulmonary resuscitation performed on an infant who is unconscious and can not breathe. This condition may be caused by choking on food, toys, or other objects. 

It entails applying pressure to the chest and giving the infant artificial breath to ensure that the heart is pumping blood and supplying oxygen to the important organs of the body. The basics are using hands to massage and circulate blood to the organs and supply oxygen until enhanced medical treatment arrives.

Steps to Take Before Starting CPR

Before discussing how to give a baby CPR, it’s critical to ensure the situation is assessed accurately and promptly.

  1. Check for Responsiveness: 

Tap the baby’s feet or shoulders and call the infant’s name while observing for any movement or signs of response. If the infant does not respond, then something must be done immediately.

  1. Call for Help: 

If you are alone, perform CPR for 2 minutes and then call the emergency services. If someone is with you, tell him to dial 911 immediately.

  1. Check for Breathing: 

Observe the movement of the chest, listen for the sounds produced while breathing, and check for air from the nose or mouth. Ensure that it takes less than 10 seconds to check for breathing. If the infant is not breathing or is only choking, start CPR on the infant right away.

Performing Chest Compressions

CPR on an infant works to ensure the flow of blood to the major organs of the body, thus boosting the chances of living. Performing CPR involves proper chest compressions and other techniques, some of which are as follows:

  • Position the Infant: 

This should be done on a firm, flat surface so that the baby does not move around much. Make sure the head is aligned parallel to the spine and that the infant is not wearing any clothing that will cover the chest area.

  • Hand Placement: 

Two fingers should be used when performing single-rescuer CPR. Put hands on the chest, slightly above the waist level. For two-rescuer CPR, use the two-thumb encircle technique. In this method, both rescuers stand beside the infant’s feet. 

The first rescuer compresses the chest with two thumbs in the middle of the sternum, below the nipples, while the second holds the infant’s head and gives rescue breaths. Fingers and thumbs surround the back to provide optimal and appropriate pressure on the chest. 

  • Compression Technique: 

Push forcefully and rapidly, trying to reduce the space available for the chest to about 1.5 inches. The compressions should push down approximately 1/3 of the chest’s depth. Compress the chest hard and allow the chest to return to the starting position before the next compression. Avoid any interruptions to maintain consistent blood flow. 

How Many Compressions For Infant CPR in The Initial Maneuvers? 

The American Heart Association recommends a compression rate of 100-120 per minute. The infant compression to breath ratio is 30:2 if the rescuer is alone and 15:2 if there are two rescuers. To enable the child to keep the right rhythm, use a song with the correct rhythm, such as ‘Stayin’ Alive’ by the Bee Gees.

 

Providing Rescue Breaths

Once the chest compressions are done, the rescuer should give rescue breaths. Rescue breaths ensure that oxygen gets into the infant’s lungs, while chest compressions assist in circulating oxygen in the infant’s body. Read on to learn how to give rescue breaths properly: 

  • Open the Airway: Tilt the infant’s head back and lift the chin slightly. Do not hyper-flex the neck, as this may lead to airway blockage.
  • Deliver Breaths: Place your mouth over the infant’s mouth and nose in a sealed manner, making sure not to let out or let in any air. Take two soft breaths; one should take approximately one second, and the second one should also take about one second. You need to properly observe the rise and fall of the chest with each breath. If the chest does not rise, turn the baby’s head to another position and attempt again.

Read more: How do you perform CPR on a drowned person?

Common Mistakes to Avoid When Giving CPR

Any small error when performing CPR on an infant can lead to severe outcomes. Thus, identifying potential mistakes will help avoid providing ineffective and even hazardous measures to save a life. The following are some common pitfalls that should be avoided when giving CPR. 

  • Compression Depth: 

Make sure that the compressions are about 1.5 inches deep or one-third of the chest depth. Compressions that are too shallow fail at circulating the blood well, while deeper compressions may cause internal harm on the other end of the scale.

  • Incorrect Hand Placement: 

It is equally important not to compress the xiphoid process, which is at the lower part of the breast bone, and not to compress too high on the chest. The hands should be placed correctly to avoid harm to the infant.

  • Inadequate Chest Recoil: 

Each time you compress, ultimately ensure the chest rises. The full chest recoil is important because it allows the heart to fill up with blood. This process is essential for circulation and occurs without the infant’s efforts.

  • Interrupting Compressions: 

Try not to pause for long to avoid disturbances of blood circulation. Switching the rescuers every 2 minutes is advisable to avoid their tiredness. The regular compression is useful for the circulation of blood around the body.

  • Overinflating Lungs: 

Breathe softly so as not to blow in the stomach. Observe for signs of adequate breathing, such as the rise and fall of the chest. Overinflation can cause difficulties and decrease the efficiency of CPR

Special Considerations for Infant CPR

Learning how to give CPR to a baby involves understanding special considerations, such as handling situations like choking or hypothermia.

  1. Choking Infants: To treat choking infants, do back slaps and chest thrusts before giving CPR to dislodge the obstruction in the airway. Do not be rough, as it will provoke more pain in the child.
  2. Drowning Victims: Newborns and toddlers are at risk of drowning in different situations; these include falling into water containers like pools and bathtubs. In this case, parents must initiate CPR with chest compression and rescue breaths because the airway may be blocked by water.
  3. Hypothermia: When practicing CPR on an infant, it is suggested that the infant be warmed slowly. Take off the wet clothing, let the baby dry off with a towel, and cover the baby with warm and dry clothes. Rewarming slowly is advised, as doing it rapidly can lead to complications.
  4. Trauma Victims: Ensure that the infant does not have any spinal injuries when placing the infant. Limit the movement of the head and neck. In the case of CPR, the requirement for chest compressions supersedes the danger of more harm.
  5. Premature Infants: They are quite delicate, and one should be very careful when handling them. They should be compressed to one-third of the chest depth, although this may be less than 1.5 inches. It is advised to use fingertips instead of two fingers for the compression. 

Read more: When To Stop Performing CPR?

Importance of CPR Training:

This guide is useful, but it cannot replace the practical session. Certified courses provide the participants with real-life experience using infant simulators, trained instructor feedback, current skills and protocols, and real-life confidence when performing CPR. 

CPR training also entails other areas of training, such as using AEDs (automated external defibrillators) in infants and managing exceptional cases like allergic reactions, seizures, legal issues, and Good Samaritan laws

Preparing for Emergencies:

In addition to learning CPR, there are steps you can take to prepare for potential emergencies.

  • Create an Emergency Plan: Emergency contact numbers should be written and placed near an easy-to-remember meeting point, and all caregivers should be familiar with the emergency plan.
  • Childproof Your Home: Plug the electrical outlets, anchor furniture to the wall, and avoid placing things that children may grab onto at an easily accessible height.
  • Learn to Recognize Signs of Distress: Learn about signs of breathing problems, fainting, and severe bleeding.
  • Keep First Aid Supplies on Hand: For minor injuries, Keep adhesive bandages, gauze pads, antiseptic wipes, and tweezers handy.
  • Stay Informed: Learn the current CPR standards and update the certification in CPR from time to time. 

Prevention and Safety Measures:

Knowledge of CPR on infant patients is important, and so is prevention. Here are some safety measures to reduce the risk of emergencies

  • Safe Sleep Practices: Infants should be put to sleep on their backs, and the crib should be made of firm material. Soft products and loose bedding products should not be placed on the crib.
  • Car Safety: Always make sure the child is in a correctly installed, appropriate-for-age car seat, and never leave a baby alone in a car.
  • Water Safety: Never let babies be alone with water and study infant swimming safety rules.
  • Choking Prevention: Feed children in small portions. Do not give foods that can cause blockage to be taken by the infants. Also, ensure that small objects are not within the child’s reach.
  • Fall Prevention: Install gates at the stairs and ensure the baby is always strapped when in high chairs or changing tables.
  • Poison Prevention: Lock up medicines and other chemicals and use containers that are difficult for children to open.
  • Fire Safety: Ensure that you have smoke detectors and establish and train for the fire escape plan. 

 

Final Thoughts: 

Learning the basics of CPR on infant patients is one of the crucial competencies that parents and caregivers should acquire. Knowing all the correct techniques, the right compression ratios, and the possible things that could go wrong will put you in a better position to act in case of an emergency. As stressed earlier, timely response and correct CPR can help improve the odds of the infant’s survival. 

Although performing infant CPR can be quite challenging, one must be prepared and confident about it. Be sure to act immediately. Please don’t wait for a tragedy to happen and lose confidence when it is time to save an infant’s life. Get certified in CPR today and learn everything, including how many compressions for infant CPR are required.

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