Class 6 - Infant CPR & Choking

Quick Note on Childproofing

Childproofing Your Home

Your baby's gross motor development will flourish between 6 and 9 months, going from sitting with support to crawling, pulling up to stand, or even cruising around the room holding on to the furniture. These gains plus a developing pincer grasp equals danger. For this reason, we discuss childproofing the home at the 6 month visit.


IF ALONE WITH A CHILD WHO IS CHOKING OR NEEDS CPR...

  1. Shout for help
  2. Start rescue effort
  3. Call 911

Note: The techniques below are for infants younger than 1 year

Infant Choking

If the infant is choking and is unable to breathe, cough, cry, or speak, follow these steps. Have someone call 911.

  1. Give 5 back blows (slaps)
    1. Alternate with…
  2. Give 5 chest compressions
  3. Check the mouth between each set of back slaps/chest compressions to remove foreign body if visible

Alternate back blows (slaps) and chest compressions until the object is dislodged or the infant becomes unconscious/unresponsive. If the infant becomes unconscious/unresponsive, begin CPR.

Infant CPR

To be used when the infant is unconscious/unresponsive or when breathing stops. Place infant on flat, hard surface.

  1. Start chest compressions
    1. Place 2 fingers on the breastbone just below the nipple line
    2. Compress chest at least 1/3 the depth of the chest, or about 1.5 inches
    3. After each compression, allow chest to return to normal position. Compress chest at rate of at least 100 times per minute
    4. Do 30 compressions
  2. Open airway
    1. Open airway (head tilt-chin lift)
    2. If you see a foreign body, take it out. Do NOT do blind finger sweeps
  3. Start rescue breathing
    1. Take a normal breath
    2. Cover infant’s mouth and nose with your mouth
    3. Give 2 breaths, each for 1 second. Each breath should make the chest rise
    4. Give another breath if chest does not rise, but do not interrupt compressions for longer than 10 seconds
  4. Resume chest compressions
    1. Continue with cycles of 30 compressions to 2 breaths
    2. After 5 cycles of compressions and breaths, if no one has called 911, leave or take infant with you if the infant is not injured and call 911. Then return and continue chest compressions/breaths.


Handout to print and put on the fridge or bulletin board

Download the PDF here