EXAM

• Infant resuscitation


  Series of actions, used to assist newborn babies who have difficulty with making the physiological 'transition' from the intrauterine to extra uterine life
• All infants who do not breathe well after delivery need immediate resuscitation
• 90% of infants have smooth transition from intrauterine to extrauterine life
• 10% needs assistance
• 1% needs extensive resuscitation
• Adult resuscitation sequence


  • Circulation
  • Airway
  • Breathing
• Infant resuscitation sequence


  • Airway
  • Breathing
  • Circulation
• Airway


  Position and clear the airway
• Breathing


  Stimulate to breath
• Circulation


  Assess HR and circulation
• Procedure


  1. Determine the need for resuscitation

  2. Call for help if infant is unresponsive

  3. Gently tilt the head back

  4. Check for breathing

  5. Look, listen, feel for breathing

  6. If not breathing, clear the airway

  7. Place infant face down on arm

  8. Deliver 5 back blows

  9. If airway remains obstructed, flip infant onto back

  10. 10. Position and keep infant's head lower than trunk

  11. Hold infant's head, provide 5 mid sternal chest thrusts

  12. Look in airway and remove any object seen
• Ventilation


  1. Position infant on flat, firm surface

  2. Open infant's airway (mouth)

  3. Take a breath, seal mouth over infant's nose and mouth, deliver two gentle puffs of air

  4. If chest does not rise, repeat from step 6

  5. Assess infant's pulse by palpating brachial artery

  6. If pulse >60 bpm, continue rescue breathing

  7. If pulse <60 bpm or absent, initiate compression
• Circulation


  1. Properly locate area of compression

  2. Place middle and ring fingers one finger breath below nipple line

  3. Depress sternum 1/2 to 1 inch

  4. Supply 2 breaths after every 30 compressions (30:2 ratio)

  5. Continue until pulse is 60 bpm or until help arrives
• Document all events of resuscitation including names of individuals present, where the arrest occurred, time CPR began, length of procedure, outcomes, any complications and actions taken to correct them