Step 3. If you have a cell phone with you, call 9-1-1, put the phone on speakerphone, and place the phone on the ground so that your hands are free.
• If you do not have a cell phone, ask anyone who can to call 9-1-1 for help. A spouse, child’s sibling, or someone else in the home may be able to call 9-1-1.
• If you are alone, do not delay rescue attempts to make the call.
Step 4. Get in position to give back blows and chest thrusts. Sit on the edge of a chair and form a ramp by placing your legs together and straightening them out in front of you. Make a V with one hand. Put the V on the infant’s jawbone. Using your hand and forearm to provide firm support for the infant’s chin, neck, and upper chest, place the infant in a face-down position on your other arm which is resting on your thigh.
• Have participants make a V and put it on their own jawbones to feel how the jawbone is hard.
• Rescuer puts hand in V position on jawbone—not on soft part of neck or under chin—to support infant’s jaw and neck when in face-down position. Forearm supports infant’s chest when in face-down position and supports infant’s back when in face-up position. One arm rests on thigh.
Step 5. Give up to 5 back blows. Using the heel of your free hand, give up to 5 firm, forceful back blows between the infant’s shoulder blades. Count out loud, “One! Two! Three! Four! Five!”
• Back blows can cause the airway to briefly loosen its grip on the object and the object may be loose enough to move in the airway.
Step 6. If the object does not come out after 5 back blows, turn the infant to face-up position. While supporting the infant’s head and neck with your hands, sandwich the infant’s body between your arms and roll the infant onto your other thigh so the infant is face-up. Keep the infant’s head lower than its chest at all times.
• Roll infant in sandwich position from face-down on 1 leg to face-up on other leg.
Step 7. Give up to 5 chest thrusts. Quickly remove or arrange clothes so you can see the infant’s chest. Place 2 fingers of your free hand on the infant’s breastbone just below the nipple line and give up to 5 quick, firm downward chest thrusts. Say out loud, “Cough! Cough! Cough! Cough! Cough!”
• Imagine a line connecting infant’s nipples. Fingers are placed just below the nipple line, in line with the breastbone—not crossways.
• DO NOT TAKE FINGERS OFF CHEST BETWEEN THRUSTS. Say out loud, “Cough! Cough! Cough! Cough! Cough!” Chest thrusts should be given at a rate of 1 per second.
• Chest thrusts are substitute coughs. Chest thrusts squeeze the lungs causing air trapped below the blockage to push the object out toward the mouth. Chest thrusts must be quick and forceful in order to create enough pressure to “cough” the blockage out.
• The directions say to give up to 5 chest thrusts because if the object comes out before 5 chest thrusts, you stop.
PAGE 26 | GRANDPARENTS: GETTING STARTED INSTRUCTOR MANUAL
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