In infants less than one year old, it is very difficult to determine the pulse. Therefore, unless you have special training, you should not feel the pulse of an infant who has stopped breathing for more than a few seconds. Except in cases of suffocation, a baby usually does not have a pulse when breathing stops. This means you need to start CPR immediately.
In infants, the pulse is checked at the brachial artery on the inside of the arm closer to the shoulder, rather than at the carotid artery in the neck, as in adults. Place two fingers near the humerus on your baby's arm, close to the armpit rather than the elbow. Lightly press your fingers against your hand and feel your pulse for 5-10 seconds.
You find a child lying motionless. After inspecting the scene of the incident, proceed with the initial inspection.
Determine if the baby is conscious
Call the baby loudly.
Lightly pinch the baby on the ends.
If the child is unconscious: Turn the child onto his or her back (only if necessary).
Turn the baby over and slowly pull him towards you, while supporting the head and neck.
Open the airway, check for breathing
Move the head to a slightly thrown position.
To determine breathing, use visual, auditory and tactile control for 5 seconds.
If the baby is not breathing: Place the baby on his back on a hard surface so that his head and heart are level.
Give 2 slow blows
Place your lips firmly around your baby's mouth and nose.
Gently give 2 slow blows without force.
Watch your chest rise to make sure air is moving into your lungs.
Check your pulse
Feel the pulse in the brachial artery for 10 seconds.
If the baby does not have a pulse:
Call an ambulance
Send someone to call an ambulance.
Find the correct position for your fingers
Place your index and ring fingers on your chest so that they are one finger's length below the imaginary line that runs between your baby's nipples.
Do 5 sternum thrusts
Pushes on the sternum are performed to a depth of 2 cm.
After 3 seconds, approximately 5 pushes should be made.
Push slowly in a vertical line, constantly keeping your fingers on your chest.
Make 1 light blow
Open the airway, the baby's head should be in a slightly forward position.
Place your lips firmly around your baby's mouth and nose.
Give 1 blow.
Watch your chest rise to make sure air is moving into your lungs.
Continue the push and blow cycles
Within 1 minute, do about 20 qi-
klov.
Check pulse and breathing
If the baby has a pulse and is not breathing:
Perform artificial ventilation until the ambulance arrives.
If the baby has no pulse and is not breathing:
Continue CPR until the ambulance arrives. Check your breathing and pulse after a few minutes.