First check if the scene is safe.
Check if the baby is conscious
• Call the baby's name loudly; if there is no reaction, you need to lightly pinch his limbs.
If the child does not cry or respond to irritation:
Place baby on his back on a firm, flat surface
Open the airway and check for breathing
• Tilt the baby's head back slightly and lift the chin.
• To detect breathing, use visual, auditory and tactile control for 5 seconds.
If the baby is not breathing:
Give 2 blows
• Keep the head in the abandoned position.
• Place your lips firmly around the baby's mouth and nose.
• Make 2 injections lasting 1-1.5 seconds.
• Watch the chest rise to ensure air is moving into the lungs.
If air does not get into the lungs: • Tilt the baby's head back. • Cover the baby's mouth and nose with your lips. •Give 2 insufflations.
If air does not pass into the lungs as before:
Call an ambulance
• Send someone to call an ambulance.
Turn the baby face down
• Support baby's head and neck.
• Turn the baby face down, placing him on your forearm so that the head is lower than the body.
Give 5 back taps
• Lower your baby into your arm, resting him on your hip.
• Using the heel of your other hand, make 5 vigorous taps between the baby's shoulder blades.
Turn the baby onto his back
• Support baby's head and neck.
• Turn the baby onto his back, placing him on your lap so that his head is supported below his body.
Perform 5 sternum thrusts
• Place three fingers below the imaginary line between your baby's nipples. Raise your ring finger so that your middle and index fingers are on your chest, one finger's distance below the imaginary line between your nipples.
• Give a series of 5 sharp thrusts to the sternum to a depth of approximately 2 cm.
Examine the oral cavity for the presence of a foreign body
• Using your thumb, press your tongue against your lower jaw and push it out slightly.
• Only when you see a foreign body in the mouth, try to remove it with one movement of a curved finger. Be careful not to push the foreign body deeper into your throat.
Open the airway and give 2 breaths
• Tilt your baby's head back slightly and lift his chin.
• Place your lips firmly around the baby's mouth and nose.
• Make 2 blows lasting 1 - 1.5 seconds
If air does not pass into the lungs:
• Repeat your actions in the following sequence - tapping on the back, pushing into the sternum and blowing until:
• the foreign body will not be removed;
• the baby will not breathe or cough;
• the ambulance will not arrive.
If air passes into the lungs:
• Check for breathing and pulse
If the baby is unable to detect breathing:
• Perform artificial ventilation.
If the baby does not have a detectable pulse:
• Perform CPR.
If breathing and pulse are restored:
• Check for heavy bleeding and, if found, take steps to stop it.
If an ambulance has not yet been called, then call without delay and wait for the team to arrive.