5 back-blows followed by?
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EMTCop86
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I was taught to do cycles of 5 chest thrust and 5 back blows. We do not start CPR unless the infant becomes unconscious.
yes. good
(sandwich)
cpr you must start when, infant unconscious (no pulse -no breathing)
no pulse in infant less than HR/60 need cbr in some protocol
good luck
nomofica
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This is exactly what I was taught.
If the infant's heart stops, start compressions. If airway is no longer compromised, start regular CPR if heart hasn't started on it's own. Obviously if heart is pumping just perform rescue breaths.
AJ Hidell
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You guys have it backwards. It is back blows first, then chest compressions.
Shishkabob
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Back blow, chest thrust, looking for the dislodged FB on the ground during the transition just to make sure you don't miss it come out.
When infant goes limp/unresponsive, begin CHEST COMPRESSIONS. Skip the airway check and breaths. Compressions first, THEN normal CPR.
When infant goes limp/unresponsive, begin CHEST COMPRESSIONS. Skip the airway check and breaths. Compressions first, THEN normal CPR.
Why check for the object? If it is out you'll know.
Ms.Medic
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A cpr class is only about 25.00 or so...
BossyCow
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The check is to see if the object is still lodged or blocking the airway but where it can be grabbed and removed.
The ILCOR guidelines make no mention of this check. Which organizations are teaching it?
You are correct.
1) Support the infant's head and neck with one hand firmly holding the jaw. Place the infant face down on your forearm, keeping the head lower than the trunk.
2) With the heel of your free hand, deliver up to 5 back blows forcefully between the infant's shoulder blades.
3) Supporting the head, sandwich the infant between your hands and arms and turn the infant on his or her back, keeping the head lower than the trunk. Using two fingers, deliver up to 5 thrusts over the lower half of the breastbone (sternum).
4) Repeat the sequence of 5 back blows and 5 chest thrusts until the object is expelled or until the infant becomes unconscious.
IF THEY BECOME UNCONSIOUS----
1) Call for help. If someone comes, that person should activate the EMS system.
2) Open the airway (head tilt—chin lift) and try to give 2 slow rescue breaths. If the airway is still obstructed, reposition the head and try again to give rescue breaths.
3) Give up to 5 back blows, then up to 5 chest thrusts.
4) Perform a tongue-jaw lift, and if you see the obstructing object, perform a finger sweep to remove it.
5) If the foreign body is not removed, repeat steps 2 through 4 until successful. If the infant resumes effective breathing, place in the recovery position.
6) If airway obstruction is not relieved after about 1 minute, activate the EMS system.
7) If the foreign body is removed and the victim is not breathing, begin the ABCs of CPR:
Airway — open the airway
Breathing — if still no breaths, attempt rescue breathing
Circulation — if no pulse, perform chest compressions
Sasha
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When I did my AHA recert, we were told to look.
AJ Hidell
Forum Deputy Chief
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Good! Everyone saying something totally different than me had me worried that maybe the standards had changed and I somehow missed the memo! Having not taken CPR for about three years now, that was entirely possible.
Shishkabob
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AHA says look.
Anyways, it just makes sense to look, because even if you see something fly out, that doesn't mean it's the only FBAO.
Anyways, it just makes sense to look, because even if you see something fly out, that doesn't mean it's the only FBAO.
traumateam1
Forum Asst. Chief
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5 back blows -> 5 chest thrusts -> 5 back blows -> 5 chest thrusts etc etc until:
- Patient becomes unresponsive
- Object comes out (baby is crying, vomiting, etc)
Because you are resting the baby in your arms and their head is below their body, gravity will work with you (when the object is expelled, gravity will help it to fall out of the mouth.. so you don't look for an object.. you just keep doing back blows and chest thrusts until one of those 2 things happen. Looking for an object is wasted time and effort, as per my protocol anyways.
Are you able to find any documentation to support what they taught? They made no mention of this extra look in Circulation:
"For an infant, deliver 5 back blows (slaps) followed by 5 chest thrusts repeatedly until the object is expelled or the victim becomes unresponsive."
http://circ.ahajournals.org/cgi/reprint/112/24_suppl/IV-156
Shishkabob
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Does Canada even follow the AMERICAN Heart Association guidelines?
If you are taught a different set, then that would be why you have no check.
If you are taught a different set, then that would be why you have no check.
Sasha
Forum Chief
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Does it really matter? Look or don't look, it's going to take you all of three seconds to check to see if the airway is clear before continuing on. Why are you having such an issue with this?
8jimi8
CFRN
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seriously?!! this is your reply? I just read a locked thread where you were crying because someone was "rude" to you.
why couldn't you just answer the question without being rude?
Sorry to make this my second post. But i just couldn't let that go:excl::excl::excl: