Dental Immediate Life Support (ILS) Level 3 (VTQ)™
Course Content
- Course Introduction
- Initial Care and PPE
- ABCDE Approach
- Heart Rhythms
- Airway Management
- ECG's
- Pulse Oximetry
- Drugs and Medications
- CPR - Cardiopulmonary Resuscitation
- First Aid vs BLS Healthcare Professionals
- When to call for assistance
- Advanced CPR Overview
- CPR Introduction
- RCUK & ERC Resus Guidelines
- Bag Valve Masks
- Pocket Mask - Advanced
- CPR Seizures and agonal gasps
- CPR Breaths
- Using an AED
- AED Pad Placement
- CPR Cycle - 1 person
- Dental CPR - 2021 guidelines
- Effective CPR
- Compression only CPR
- CPR and the female casualty
- Improving compressions
- The Precordial thump
- Improving breaths
- The hospital resuscitation team
- Post CPR
- Paediatric CPR overview
- Adolescent CPR
- Child CPR for Healthcare Professionals
- Infant CPR practical (first aid guidelines)
- Infant CPR for Health Professionals
- Thumb use infant CPR
- Newborn CPR for BLS Healthcare Professionals
- Defibrillation
- Oxygen
- When Oxygen is Used
- Hazards of using oxygen
- Contra Indications Of Oxygen
- Hypoxia
- Storage Of Oxygen
- Transport of Cylinders
- Standard oxygen cylinder
- PIN INDEX cylinder
- Oxygen Regulators
- BOC Oxygen Kit
- How long does an Oxygen cylinder last?
- Oxygen Giving Set
- Venturi Mask
- Non Rebreather mask
- Nasal Cannula
- CPR Scenarios
- DNR's and When to Stop Resuscitation
- Choking
- Dental Medical Emergencies
- ILS Summary
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Infant CPR practical (first aid guidelines)
So we are now going to have a look at infant CPR practicals. Remember, this is a very, very distressing time with a child in cardiac arrest, which is extremely rare, but when it does happen, it is a very, very stressful time. And it does not matter who you talk to, whether they are paramedics with 25 years experience like myself or whether they are mothers, families; you cannot really explain how much stress you are under in this situation. But again, if we understand what we do and we keep a clear head and keep things simple, CPR is very very effective, very efficient, and works very well on a child or an infant.You will notice that we have put this child on a pillow. When he is placed on a pillow, it allows the head to naturally fall into the sniffing the morning air position. So if you have got a pillow, or you can get anything that looks like a pillow whether it is off the sofa, whether it is out of bed, out of the cart or even at the back of an ambulance, it does not matter. But put the pillow on the floor, put the patient on the pillow with just the head overhanging the top of the pillow. This naturally puts the airway into the right position. And we have got two techniques for CPR now. We have got one on our own or we have got a two-person technique. If we are on our own, on a pillow, we can do the two-fingered centre of the chest compressions, and we can do the breaths with the airway kept open at all times.If you put the child on the flat surface, because of the shape of the occiput at the back of the head, it tends to roll the head forward, and we have got to keep holding in the sniffing the morning air position, we have gotta keep re-evaluating the airway itself. But with them lying on a pillow, it naturally puts the child in that position. Look, listen, and feel; clear the airway, make sure there is no breathing, 10-second check, no breathing, we are now going to commence CPR. And again, like the child, the infant is one minute with the CPR, if we get no output after that and we are on our own, we go for help, we phone trouble line. We come back and we commence CPR. If we do not make that call, nobody is coming to help us, but we have got to pick the optimum point, so it is a minute worth of CPR, let us see what we get. Hopefully, we will get an outcome. If we do not, that is the time you make the trouble line call.And again, backing you up then is going to be an ambulance crew. If it is in hospital, the same process, the crash button is called, resus starts, the crash team arrive on the scene, an ambulance arrives on scene, more extended skills, drugs, so on, process hopefully gets better quickly.So, the compression with two fingers, nipple line, two fingers on the top of the chest, and we compress the chest, a third of the chest depth because remember all babies will be a different size. It might be one month, it might be nine months. Depending on the size of the child, depends on the thickness of the chest, depends on the compression. Remember that their ribs are not joined to their spine. So if we press off-centre of the sternum, we can actually do damage to the ribs. If we are too low, we can do damage to the abdomen. So we need to be right in the centre of the chest, right in the sternum itself. So your two fingers go into the sternum, and you can press the sternum. Your breaths, because the nose and mouth are very close together, your mouth goes over mouth and nose to get a seal and we put in the five breaths. So, five breaths first, 30 compressions; two breaths, 30; 2, 30; 2, 30. The 30 compressions are pushing blood around the body that is oxygenated now, the five breaths pre-load the system and the two breaths following that, then just keep that top-top process going.The other technique is with the encircling technique. With this one, if I turn the patient around slightly, a colleague can work from the head end managing the airway, and myself, I can place my hands underneath the child on the pillow with my thumbs smack in the centre of the sternum in the chest, and I now squeeze the chest with my compressions, and as I get to 30 counting down 25, 26, 27, 28, 29, 30 my partner at the head end uses a bag and mask, uses a face shield, but can operate and manage the airway. It is a two-person technique, it is called the encircling technique, very efficient, very effective, pillow works really well to be able to give you that support and keep the airway open. But it is a two-person operation.So we have got the normal one-person operation, two fingers, mouth and nose, breaths or the two-person encircling technique, and your partner doing the breaths. The third and final one is, if the child if you are on your own, you can place the child's spine down your forearm, lock the leg to the side of your body so you have got the child fixed. The crank in your wrist gives you the sniffing the morning air position, your two fingers do your compressions, and then you bring the child to the mouth and you do your two breaths. So, chest compressions, breaths, and I can move with this patient and take them to definitive care or move to where I need to make the trouble line call, the phone call, but the child goes with me and the resus takes place during that transfer.So with the pillow, it is a stay-in play input, two-person, or single person. With this one, we can actually move with the patient but keep the resus going at the same time. The crank at the wrist, the compressions give us all the right positioning to get the good oxygenation, the good compression. Three techniques for infant resuscitation.
Previous lesson
Child CPR for Healthcare Professionals
Next lesson
Infant CPR for Health Professionals
Infant CPR Practical Techniques
Providing Effective CPR for Infants
Managing Cardiac Arrest in Distressing Situations
- Emotional Challenge: Infant Cardiac Arrest
- Stress and Effectiveness: Keeping It Simple
- Pillow Placement: Facilitating Proper Airway Position
- Two CPR Techniques: One-Person and Two-Person
- One-Person CPR: Two-Finger Compressions and Breath Management
- Encircling Technique: Efficient Two-Person Method
- Alternative Approach: CPR with Child Fixed to Arm
Infant CPR is a vital skill during a distressing time. This guide covers practical techniques, including one-person and two-person CPR, proper pillow placement, and alternative methods to ensure effective cardiac arrest management in infants.
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