after the first breath, reposition the head using the head-tilt and chin- lift and attempt to give another breath. Proceed to chest compressions after 2 breaths even if breaths failed to cause the chest to rise.
• After you have the blood circulating by doing chest compressions, you need to give the child more oxygen to stay alive. Only blow hard enough to make the child’s chest rise slightly. A slightly bigger child needs a slightly bigger breath. Your mouth must completely cover the child’s mouth while you pinch the child’s nose closed to prevent your breath from escaping.
• Rescue breath is exhaled air, but there is enough oxygen in exhaled air to keep victim oxygenated. If chest doesn’t rise, the airway is not open. It could be the head position, or something could be obstructing the airway.
Step 9. Do 30 chest compressions. Continue CPR for 2 minutes or a total of 5 sets of 30 chest compressions and 2 rescue breaths. If you know or suspect the child may have choked, check the mouth each time you open the airway to give breaths.
• Don’t take too long to give breaths. Chest compressions should not be interrupted for more than a few seconds.
Step 10. If you haven’t yet called 9-1-1, do so now and then continue doing CPR until 9-1-1 arrives and takes over or until the child starts to breathe and move. If the child begins to breathe but is still not responding, roll the child onto his side with head tilted slightly back. Stay with the child and wait for 9-1-1 to arrive. If the child stops breathing, roll the child to his back and resume CPR.
• Call 9-1-1 if child is still not breathing. You need expert medical help immediately.
ROLE-PLAY: PARTICIPANTS PRACTICE ON CHILD MANIKIN
• Practice at least one scenario as a group. Some scenarios will have the child face-down and some face-up. If you have time, practice additional scenarios.
• As participants practice each scenario, the Instructor should call out each step of child CPR (steps 1-10 listed above).
• Use a metronome, if available, for teaching the correct rate for compressions.
• Make sure that each scenario has a successful outcome, and after each scenario, ask the participants how the situation could have been prevented.
Scenario #1
• You find 2-year-old Noah in the bathroom with his head down the toilet. He is limp and blue. You are with your spouse.
PAGE 32 | GRANDPARENTS: GETTING STARTED INSTRUCTOR MANUAL
Page 1 |
Page 2 |
Page 3 |
Page 4 |
Page 5 |
Page 6 |
Page 7 |
Page 8 |
Page 9 |
Page 10 |
Page 11 |
Page 12 |
Page 13 |
Page 14 |
Page 15 |
Page 16 |
Page 17 |
Page 18 |
Page 19 |
Page 20 |
Page 21 |
Page 22 |
Page 23 |
Page 24 |
Page 25 |
Page 26 |
Page 27 |
Page 28 |
Page 29 |
Page 30 |
Page 31 |
Page 32 |
Page 33 |
Page 34 |
Page 35 |
Page 36 |
Page 37 |
Page 38 |
Page 39 |
Page 40 |
Page 41 |
Page 42
