Your Newborn - Part 2
Following on from my blog post a few days ago, I wanted to bring you the most important education that can save a child’s life when the unexpected happens, so below I go through inhalation of a foreign body and Infant CPR.
Inhalation of a foreign body
Here I will layout the steps for CPR on a small baby. The steps we use are called DRSABC.
D - DANGER - Check the area for danger to yourself, the baby and anyone else in the immediate area. Remove it, or move the baby to a safe area.
R - RESPONSE - Check for a response using the talk and touch approach. Place one hand on the baby’s forehead and use the other hand to gently squeeze the baby’s shoulder, while talking loudly to them.
The baby may respond by opening their eyes, making a noise or moving. If they respond, stay with them to make sure they recover. If you are worried, seek medical advice.
S - SEND FOR HELP - If the baby does not respond, send for help immediately by calling 000
Stay calm, speak slowly and ask for an ambulance
The operator will ask you a number of questions
DO NOT hang up the phone - Put it on speaker
If there is someone with you, get them to make the call
A - AIRWAY - Lay the baby on their back, on a firm surface. Make sure their head is not tilted forwards or backwards.
Use your fingers to lift the chin up towards you.
Open the mouth and if you can see;
fluid: then place the baby on their side to help drain the fluid.
an object: if you can get to it easily, place baby on their side and use your thumb and index finger (in a pincer grip) to remove the object. Be careful not to push the object further into the throat.
The baby may recover as a result of you clearing the airway.
B - BREATHING - look for movement of the baby’s chest and stomach.
• listen for breathing sounds by placing your ear close to the baby’s mouth and nose
• feel for air when listening for breathing sounds.
Look, listen and feel for up to 10 seconds.
If the baby is breathing normally, but is still not responding, place them on their side. Check them regularly to make sure their condition doesn’t worsen while you wait for the ambulance.
If the baby is not breathing normally, they will need CPR.
C - CPR - To give chest compressions, use 2 fingers or one hand, depending on the size of the baby and your own strength.
• Place your fingers or hand on the lower half of the breastbone, which is in the centre of the chest.
• Push down to 1/3rd of the depth of the chest 30 times.
• Push fast, at a rate of 100-120 compressions per minute.
Once you have given 30 compressions, you should then give 2 breaths.
To give breaths lift the chin up as described earlier.
• Take a breath yourself.
• Open your mouth and place it over the baby’s mouth and nose.
• Slowly blow enough air to see the baby’s chest rise and fall.
Continue repeating 30 compressions to 2 breaths until the ambulance arrives and takes over or the baby begins to respond.
If you are unable to or prefer not to give breaths, continue to give chest compressions without stopping until the ambulance arrives.
Phew! That’s a lot, I know, but so important to #knowwhattodo
I hope you have enjoyed reading this today and you will take away some useful advice to keep in mind for your journey in motherhood, be sure to share and comment below, let me know if you found this helpful? I’m always open to questions too!
You can join us at a class any Wed or Thurs morning in Randwick by clicking here , empower yourself with the life saving skills of infant and child CPR, first aid & allergy management and prevention, alternatively we come to you and teach a class in your home.
Our classes are taught by true professionals in Paediatric Nursing with bags of experience to pass onto you.
You will arrive curious & unsure and leave with full confidence to know what to do if the worst should happen. #knowwhattodo