Journal #4Journal #4September 12, 2007September 12, 2007

Skills Testing and Breathing Emergencies Test on Friday,

September 14th. Explain the difference between

rescue breathing and rescue breaths. When would you perform both?

Child – Infant CPRChild – Infant CPR

Health 10Health 10

Signals of a Breathing EmergencySignals of a Breathing Emergency

Breathing is…Breathing is…– _________ or ___________ faster than usual._________ or ___________ faster than usual.– Noisy.Noisy.– __________________________

Child or infant is…Child or infant is…– _____________ for breath._____________ for breath.– Wheezing, gurgling, or making high-pitched sounds.Wheezing, gurgling, or making high-pitched sounds.

Skin is more moist than usual or looks flushed, Skin is more moist than usual or looks flushed, pale, or bluish.pale, or bluish.

WHAT’S THE DIFFERENCE???

INFANTINFANT = = __________________________

CHILDCHILD = =

__________________________

ADULT = ADULT = ____________

Checking an Unconscious CHILDChecking an Unconscious CHILD

Check the scene, then check the ChildCheck the scene, then check the Child

““____________________?”____________________?”

No response, “Call 9-1-1”No response, “Call 9-1-1”

** If you are _____________ …** If you are _____________ …– Give 2 minutes of _____________Give 2 minutes of _____________– Then Call 9-1-1Then Call 9-1-1

Look, listen, and feel (10 seconds)Look, listen, and feel (10 seconds)

2 _____________2 _____________

Check for pulse (on the _____________)Check for pulse (on the _____________)

If a Child is NOT Breathing…If a Child is NOT Breathing…RESCUE BREATHINGRESCUE BREATHING

Give _____ slow breath every _____ secondsGive _____ slow breath every _____ seconds– Each breath should last about 1 secondEach breath should last about 1 second

Do this for _____ minutes (40 breaths)Do this for _____ minutes (40 breaths)RECHECK pulse and breathing.RECHECK pulse and breathing.

** DIFFERENT FROM ADULT…** DIFFERENT FROM ADULT…– Give _____ breath every _____ secondsGive _____ breath every _____ seconds

If the child does not have a pulse…If the child does not have a pulse…

CPRCPR30 compressions, 2 breaths30 compressions, 2 breaths

Continue until…Continue until…– Scene becomes unsafeScene becomes unsafe– You find a sign of life.You find a sign of life.– AED is ready to use.AED is ready to use.– You are too exhausted to continue.You are too exhausted to continue.– Another trained responder takes over for Another trained responder takes over for

you.you.

There are 3 differences between adult and child CPRThere are 3 differences between adult and child CPR– If you are alone with the child give _____ minutes of CPR before If you are alone with the child give _____ minutes of CPR before

__________________________. . – Use the heel of _____ hand for chest compressions Use the heel of _____ hand for chest compressions – Press the sternum down 1 to 1.5 inches Press the sternum down 1 to 1.5 inches

If Air DOES NOT go in…If Air DOES NOT go in…Airway is probably blocked by food or small object.Airway is probably blocked by food or small object.Perform Perform __________________________ CHOKING… CHOKING…Retilt head and try to give 2 breaths again.Retilt head and try to give 2 breaths again.30 compressions.30 compressions.

Lift jaw and check for object…Lift jaw and check for object…IF SEENIF SEEN, sweep it out with finger., sweep it out with finger.

Tilt head and give 2 breaths again.Tilt head and give 2 breaths again.

If a Child is conscious If a Child is conscious

CHOKING…CHOKING…One signal of choking is coughing. If the One signal of choking is coughing. If the child is coughing, the airway is partially child is coughing, the airway is partially blocked, but the child is still able to get blocked, but the child is still able to get some air. some air. Encourage the child to keep coughing. Encourage the child to keep coughing. If the child continues coughing and does not If the child continues coughing and does not cough up the object, call 9-1-1.cough up the object, call 9-1-1.If the child is coughing weakly or making a If the child is coughing weakly or making a high-pitched sound OR unable to speak, high-pitched sound OR unable to speak, breathe, or cough at all …the airway is breathe, or cough at all …the airway is completely blocked.completely blocked.HELP IS NEEDED IMMEDIATELY.HELP IS NEEDED IMMEDIATELY.

Conscious Choking - ChildConscious Choking - Child5 ______________________________________________ and 5 __________________________________________

**When giving abdominal thrusts to a child, stand or kneel behind the child, depending on his/her size.

Continue until the child coughs up the object or starts to breathe or cough OR the child becomes unconscious.

** In all cases, TAKE THE CHILD TO THE __________________________ TO BE CHECKED.

Checking an Unconscious INFANTChecking an Unconscious INFANT

Check the scene, then check the Check the scene, then check the infant.infant.

Shout and gently tap the child on Shout and gently tap the child on the shoulder. the shoulder.

No response, “Call 9-1-1”No response, “Call 9-1-1”– ** If you are ** If you are __________________________ … …

Give Give ____________________________________________________________

Then Call 9-1-1Then Call 9-1-1

Look, listen, and feel (10 seconds)Look, listen, and feel (10 seconds)

2 rescue breaths (**cover the infants 2 rescue breaths (**cover the infants mouth and nose)mouth and nose)

Check for pulse (on the Check for pulse (on the ____________________))

RESCUE BREATHING for InfantsRESCUE BREATHING for Infants

If the baby is NOT If the baby is NOT __________________________, but has a , but has a __________________________..

Give 1 slow breath every 3 seconds. Each breath lasting 1 Give 1 slow breath every 3 seconds. Each breath lasting 1 second.second.

Recheck pulse and breathing every Recheck pulse and breathing every __________________________ minutes. minutes.

Not Breathing and No pulse…Not Breathing and No pulse…

CPRCPR for Infants for InfantsGive 30 gentle chest Give 30 gentle chest compressions. Position compressions. Position your 3rd and 4th fingers your 3rd and 4th fingers in the center of the in the center of the chest. Press down only chest. Press down only ___ to ___ inches.___ to ___ inches.

Give ____ slow breaths. Give ____ slow breaths.

IF the air won’t go in…IF the air won’t go in…

Retilt infant’s head…give 2 breaths againRetilt infant’s head…give 2 breaths again

If chest does NOT rise…If chest does NOT rise…– Position infant _____________Position infant _____________

Give 30 chest compressionsGive 30 chest compressions

– Lift jaw; look for object…Lift jaw; look for object…IF SEEN, finger sweep WITH PINKYIF SEEN, finger sweep WITH PINKY

– Tilt head back, give 2 breaths again.Tilt head back, give 2 breaths again.

Conscious choking InfantConscious choking Infant

•Head must be __________________________

than chest.

•Give 5 __________________________ between the shoulder blades.

1 -2 -

•Position infant __________________________ on forearm.

•Support head when turning infant.