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Due to unforeseen circumstances we were not able to publish the Pulse last week. We apologize.
FIRST AID XI: CPR for Children (Ages 1 - 8)
CPR for children is similar to CPR for adults. (see PULSE X Vol. 2 Issue 8 of Tuesday March 05, 2013)
The compression (pump) to ventilation (breathing) ratio is 30:2. If you are alone with the child give 2 minutes of CPR before calling 911.
Check the victim for unresponsiveness. If the person is not responsive and not breathing or not breathing normally. Call 911 and return to the victim. In most locations the emergency dispatcher can assist you with CPR instructions.
A) Use the heel of one or two hands for chest compression depending upon the size of the child.
B) Press the sternum approximately one-third the depth of the chest (about 2 inches) at the rate of least 100/minute
Tilt the head back and lift the chin. Tilt the head back and listen for breathing. If not breathing normally, pinch nose and cover the mouth with yours and blow until you see the chest rise. Give 2 breaths. Each breath should take 1 second.
CONTINUE WITH 30 PUMPS AND 2 BREATHS UNTIL HELP ARRIVES
NOTE: This ratio is the same for one-person & two-person CPR. In two-person CPR the person pumping the chest stops while the other gives mouth-to-mouth breathing.
What complications can occur?
Vomiting is the most frequently encountered complication of CPR. If the victim starts to vomit, turn the head to the side and try to sweep out or wipe off the vomit. Continue with CPR.
The spread of infection from the victim to the rescuer is exceedingly rare. Most cardiac arrests occur in people's homes - relatives or friends will be the ones needing to do CPR. Even CPR performed on strangers has an exceedingly rare risk of infection. There is NO documentation of HIV or AIDS ever being transmitted via CPR.
What about checking for a pulse?
The pulse check is no longer taught or expected of laypersons. Instead, if there is no response after two mouth-to-mouth breaths, begin to pump on the chest. Please note that the pulse check is still expected of health care providers.
These names are for your information only please do not contact them in medical Emergency Call 911 or your doctor or your Clinic.
If you have a medical problem to discuss please email female or male doctor and you will be contacted.
Ansar Ahmed MD. MRCP (UK): Neurologist
Fatima Jaffer: BS, RN, CNP: Registered Nurse, Certified Nurse Practitioner-Pediatrics
Amir Monzavi OD: Doctor of Optometry
Cell: 612 483-1691
Abdulhussein Nathani: MD Hospitalist
Zahra A Nathani: MHA (Master of Health Administration)
Shabnam Sabur: BS, RN: Registered Nurse