Check For Unresponsiveness
Shake the infant gently and loudly call his/her name. Call for "help" and lay the infant on its back. A
A - Airway
Open the airway by tilting the infant's head back and lifting the chin. Put your ear over the infant's mouth and look, listen and feel for air movement.
B - Breathing
If the infant is not breathing, place your mouth over the infant's mouth and nose and breathe two "small" breaths.
C - Circulation
The brachial pulse in the upper arm is recommended. The brachial artery is found in the grove between the two muscles on the inside of the arm. If there is a pulse but the infant is not breathing, continue mouth-to-mouth breathing by giving one breath every three seconds. Most infants who are not breathing and unresponsive will not have an adequate pulse. Do not spend more than 5-10 seconds checking the pulse. Start circulation by placing two fingers one finger width below the imaginary line between the nipples.
100/minute DEPTH; 1/2 to 1 inch Perform 5 compressions to 1 ventilation. After1 minute of CPR (20 cycles) check the pulse. Call 911. If no pulse, give 1 breath and continue CPR.
Choking Infant Conscious Infant
If the infants airway is blocked, pick up the infant, supporting the head, and give him/her 5 back blows. Turn the infant over, continuing to support the head, and give 5 chest thrusts. Continue the 5 back blows and 5 chest thrusts until the object is expelled or the infant becomes unconscious.
Unconscious Choking Infant
Call 911. Lay the infant on a hard surface and look into the mouth. If you see the object, pick it out with your fingers. If you don't see anything, leave the mouth alone. Position the head and give 1 breath. Pick up the infant and give 5 back blows and 5 chest thrusts as before. Again lay the infant down and check the mouth. Repeat the above cycle until help arrives or if the airway becomes clear, check the pulse and continue the "A, B, C's" of CPR.