Confirm the infant is unresponsive and not breathing
2
Call 911 or instruct someone else to do so
3
Place the infant on a flat, firm surface
4
Begin chest compressions
5
Deliver 30 compressions followed by 2 breaths
6
Check for signs of life after 2 minutes of CPR
7
Continue CPR if there are no signs of life
8
Approval: Paramedic for infant's condition
9
Ensure AED is ready for use if available
10
Attach AED pads to infant's chest if CPR is non-effective
11
Follow AED prompts and deliver shocks if necessary
12
Resume chest compressions and breaths after shock delivery
13
Continually reassess infant's condition every 2 minutes
14
Approval: Pediatrician for further medical procedures
15
Facilitate infant's transport to nearest medical facility
16
Prepare and submit incident report
Confirm the infant is unresponsive and not breathing
This task is crucial as it determines whether the infant requires CPR or not. Confirming the infant's unresponsiveness and lack of breathing is the first step in providing life-saving care. Ensure to observe the infant for any signs of movement or breathing. Are they unresponsive? Are they not breathing? If you're unsure, gently tap the infant's shoulder and check for any response. If there is no response and the infant is not breathing, proceed to the next step.
Call 911 or instruct someone else to do so
In this task, you need to call 911 immediately or instruct someone nearby to make the emergency call. Prompt medical attention is crucial for the infant's survival. If you're alone, make the call first before starting CPR. If someone else is present, delegate the responsibility to them while you initiate CPR. Do you have a phone nearby? Would you like to send an emergency message instead?
1
Immediate
2
Urgent
3
High
4
Medium
5
Low
Place the infant on a flat, firm surface
Laying the infant on a flat and firm surface helps in maintaining proper alignment during CPR. Ensure you're on a safe, stable surface and position the infant with their back lying flat. Are you on a safe surface? Will you be using a bed or the floor?
1
Bed
2
Floor
3
Crib
4
Changing table
5
Counter
Begin chest compressions
Chest compressions are the primary component of CPR, aiding in circulatory support. In this task, you will initiate chest compressions to restore blood flow. Place two fingers on the infant's sternum and push down firmly at a depth of about 1.5 inches. Are you ready to start chest compressions? Do you know the correct hand placement?
1
Two-finger technique
2
One-hand technique
3
Two-hand technique
4
Thumb-encircling technique
5
Heel of hand technique
Deliver 30 compressions followed by 2 breaths
Properly alternating chest compressions and rescue breaths is necessary for effective CPR. Begin by delivering 30 chest compressions at a rate of around 100-120 compressions per minute. After 30 compressions, provide 2 rescue breaths by covering the infant's nose and mouth with your mouth and blowing just enough to make the chest rise. Can you maintain the correct ratio of compressions to breaths? Do you know the recommended compression rate?
Check for signs of life after 2 minutes of CPR
After 2 minutes of performing CPR, it's crucial to check for signs of life. Assess if the infant has regained consciousness or started breathing. Do they have a pulse? If the infant shows signs of life, stop CPR and monitor their condition. If not, proceed to the next task.
Continue CPR if there are no signs of life
If there are no signs of life after 2 minutes of CPR, it's essential to continue providing chest compressions and rescue breaths. Consistent and uninterrupted CPR improves the chances of survival until medical help arrives. Are you ready to continue CPR? Can you maintain the recommended compression and breath rate?
Approval: Paramedic for infant's condition
Will be submitted for approval:
Continue CPR if there are no signs of life
Will be submitted
Ensure AED is ready for use if available
In this task, you need to ensure the availability and readiness of an Automated External Defibrillator (AED). If an AED is accessible, prepare it for immediate use. AEDs can help restore normal heart rhythm by delivering an electrical shock. Is an AED available nearby? Do you know how to use it?
1
Available
2
Not available
Attach AED pads to infant's chest if CPR is non-effective
If CPR does not lead to signs of life and an AED is available, attach the AED pads to the infant's chest as per the device instructions. Proper pad placement is crucial for effective defibrillation. Are you familiar with the infant pad placement? Do you have the AED ready for use?
1
Upper right chest and lower left side
2
Lower left chest and upper right side
3
Upper left chest and lower right side
4
Lower right chest and upper left side
5
Left chest and right side
Follow AED prompts and deliver shocks if necessary
Once the AED pads are correctly attached, follow the device prompts. The AED will analyze the infant's heart rhythm and provide appropriate instructions. If the AED advises delivering a shock, ensure everyone is clear of the infant and administer the shock as instructed. Are you ready to follow the AED prompts? Do you understand the importance of clearing everyone from the infant's body before delivering a shock?
Resume chest compressions and breaths after shock delivery
After delivering a shock, immediately resume chest compressions and breaths following the recommended ratio. Maintaining effective CPR is crucial for increasing the chances of survival. Have you resumed the correct ratio of compressions to breaths? Can you maintain the recommended compression rate?
Continually reassess infant's condition every 2 minutes
Throughout the CPR process, periodically reassess the infant's condition to determine any changes or signs of improvement. Reassess at least every 2 minutes to evaluate the effectiveness of CPR and make necessary adjustments. Do you understand the importance of reassessing the infant's condition frequently? Are you following the recommended reassessment time interval?
Approval: Pediatrician for further medical procedures
Will be submitted for approval:
Attach AED pads to infant's chest if CPR is non-effective
Will be submitted
Facilitate infant's transport to nearest medical facility
In this task, you need to arrange for the infant's immediate transportation to the nearest medical facility. Prompt medical intervention is critical for the infant's well-being. Contact emergency medical services if not already done, and prepare for the journey. Do you have access to transportation? Are you aware of the closest medical facility?
Prepare and submit incident report
Creating an incident report is vital for documenting the CPR event accurately. Provide a detailed account of the incident, including the time of occurrence, actions taken, and any pertinent information. Submit the report to the relevant authority as per your guidelines. Is there a specific format or template for the incident report? Are you aware of the information required in the report?
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