• A rescue breath is exhaled air, but there is enough oxygen in exhaled air to keep victim oxygenated. If chest doesn’t rise, 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 infant 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. Call 9-1-1 and then continue doing CPR until 9-1-1 arrives and takes over or until the infant starts to breathe and move. If the infant begins to breathe but is still not responding, roll the infant onto her side with head tilted slightly back. Stay with the infant and wait for 9-1-1 to arrive. If the infant stops breathing, roll the infant to her back and resume CPR.


• Call 9-1-1 if infant is still not breathing. You need expert help immediately.


Step 11. Call employer after 9-1-1 arrives. • Wait to call employer until help arrives and takes over.


ROLE-PLAY [Students practice on infant manikin.]


• Place infant manikin on the table in face-up position for first scenario. Some scenarios will have the infant face-up and some face-down.


• Students should stand to practice. • INSIST that students treat manikin like a real infant.


• Instructor will read scenario for students to practice as a group. As each student practices, Instructor calls out each step of infant CPR (steps 1-11 listed above).


• Use 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 student often make


1. No head/neck support on turn from face-down to face-up Review V hand position to support head and proper turning technique.


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


3. Unable to open airway by adequate head-tilt/chin-lift Infant may be over-tilted. A teeny tiny tilt may work.


PAGE 58 | SAFE SITTER® INSTRUCTOR MANUAL UPDATED 2023


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