• 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 students how the situation could have been prevented.


Note to Instructor: How to correct technique errors that students often make


1. No head/neck support on turn from face-down to face-up Review how to carefully roll child toward you supporting head and neck.


2. Poor chin-lift: fingers positioned on soft tissue under chin, not jawbone Demonstrate putting two fingers on jawbone and lifting up.


3. Unable to open airway by adequate head-tilt/chin-lift (child usually under-tilted) Slightly bigger tilt may work.


4. Seal not created Mouth of rescuer should cover child’s mouth with nose pinched closed.


5. Rescue breaths too forceful It should be a little breath; chest just barely needs to rise.


6. Wrong hand placement Heel of one hand in center of chest between nipples. Heel of other hand on top of first hand.


7. Moves hands Hands stay on chest between pushes.


8. Wrong delivery Push hard and fast.


9. Pressure not released Chest should return to normal after each push.


10. Wrong rate Correct rate is 100-120 pushes per minute.


Scenario #1


• You find 6-year-old Austin floating face-down in the shallow end of the family swimming pool. He is blue and not breathing. His 10-year- old sister Isabelle is there.


Scenario #2


• You find 2-year-old Dana lying face-up on the living room floor. Her brother’s Lego®


is blue. You are alone. toys are scattered around her. She is not breathing and


SAFE SITTER® INSTRUCTOR MANUAL | PAGE 53


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