North Carolina school health program manual - Page 333 |
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N. C. DHHS, 2009/ 2010 E3- 44 7. REPEAT STEPS 1- 6 UNTIL OBJECT IS COUGHED UP OR INFANT STARTS TO BREATHE OR BECOMES UNCONSCIOUS. 8. Call EMS after 2 minutes ( 5 cycles of 30 compressions to 2 rescue breaths) if not already called. IF INFANT BECOMES UNCONSCIOUS, GO TO STEP 6 OF INFANT CPR CHOKING ( Conscious Victims) Call EMS 9- 1- 1 after starting rescue efforts. INFANTS UNDER 1 YEAR Begin the following if the infant is choking and is unable to breathe. However, if the infant is coughing or crying, do NOT do any of the following, but call EMS, try to calm the child and watch for worsening of symptoms. If cough becomes ineffective ( loss of sound), begin step 1 below. CHILDREN OVER 1 YEAR OF AGE & ADULTS Begin the following if the victim is choking and unable to breathe. Ask the victim: “ Are you choking?” If the victim nods yes or can’t respond, help is needed. However, if the victim is coughing, crying or speaking, do NOT do any of the following, but call EMS, try to calm him/ her and watch for worsening of symptoms. If cough becomes ineffective ( loss of sound) and victim cannot speak, begin 1. Position the infant, with step 1 below. head slightly lower than chest, face down on your arm and support the head ( support jaw; do NOT compress throat). 2. Give up to 5 back slaps with the heel of hand between infant’s shoulder blades. 3. If object is not coughed up, position infant face up on your forearm with head slightly lower then rest of body. 4. With 2 or 3 fingers, give up to 5 chest thrusts near center of breastbone, just below the nipple line. 5. Open mouth and look. If foreign object is seen, sweep it out with the finger. 6. Tilt head back and lift chin up and out to open the airway. Try to give 2 breaths. 1. Stand or kneel behind child with arms encircling child. 2. Place thumbside of fist against middle of abdomen just above the navel. ( Do NOT place your hand over the very bottom of the breastbone. Grasp fist with other hand). 3. Give up to 5 quick inward and upward abdominal thrusts. 4. REPEAT STEPS 1- 2 UNTIL OBJECT IS COUGHED UP, CHILD STARTS TO BREATHE OR CHILD BECOMES UNCONSCIOUS. IF CHILD BECOMES UNCONSCIOUS, PLACE ON BACK AND GO TO STEP 7 OF CHILD OR ADULT CPR ( p. 37 or 38). FOR OBESE OR PREGNANT PERSONS: Stand behind person and place your arms under the armpits to encircle the chest. Press with quick backward thrusts. Pictures reproduced with permission. Textbook of Pediatric Basic Life Support, 1994. Copyright American Heart Association.
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Title | North Carolina school health program manual - Page 333 |
Full Text | N. C. DHHS, 2009/ 2010 E3- 44 7. REPEAT STEPS 1- 6 UNTIL OBJECT IS COUGHED UP OR INFANT STARTS TO BREATHE OR BECOMES UNCONSCIOUS. 8. Call EMS after 2 minutes ( 5 cycles of 30 compressions to 2 rescue breaths) if not already called. IF INFANT BECOMES UNCONSCIOUS, GO TO STEP 6 OF INFANT CPR CHOKING ( Conscious Victims) Call EMS 9- 1- 1 after starting rescue efforts. INFANTS UNDER 1 YEAR Begin the following if the infant is choking and is unable to breathe. However, if the infant is coughing or crying, do NOT do any of the following, but call EMS, try to calm the child and watch for worsening of symptoms. If cough becomes ineffective ( loss of sound), begin step 1 below. CHILDREN OVER 1 YEAR OF AGE & ADULTS Begin the following if the victim is choking and unable to breathe. Ask the victim: “ Are you choking?” If the victim nods yes or can’t respond, help is needed. However, if the victim is coughing, crying or speaking, do NOT do any of the following, but call EMS, try to calm him/ her and watch for worsening of symptoms. If cough becomes ineffective ( loss of sound) and victim cannot speak, begin 1. Position the infant, with step 1 below. head slightly lower than chest, face down on your arm and support the head ( support jaw; do NOT compress throat). 2. Give up to 5 back slaps with the heel of hand between infant’s shoulder blades. 3. If object is not coughed up, position infant face up on your forearm with head slightly lower then rest of body. 4. With 2 or 3 fingers, give up to 5 chest thrusts near center of breastbone, just below the nipple line. 5. Open mouth and look. If foreign object is seen, sweep it out with the finger. 6. Tilt head back and lift chin up and out to open the airway. Try to give 2 breaths. 1. Stand or kneel behind child with arms encircling child. 2. Place thumbside of fist against middle of abdomen just above the navel. ( Do NOT place your hand over the very bottom of the breastbone. Grasp fist with other hand). 3. Give up to 5 quick inward and upward abdominal thrusts. 4. REPEAT STEPS 1- 2 UNTIL OBJECT IS COUGHED UP, CHILD STARTS TO BREATHE OR CHILD BECOMES UNCONSCIOUS. IF CHILD BECOMES UNCONSCIOUS, PLACE ON BACK AND GO TO STEP 7 OF CHILD OR ADULT CPR ( p. 37 or 38). FOR OBESE OR PREGNANT PERSONS: Stand behind person and place your arms under the armpits to encircle the chest. Press with quick backward thrusts. Pictures reproduced with permission. Textbook of Pediatric Basic Life Support, 1994. Copyright American Heart Association. |