Content

• Steps

If children lose consciousness and stop breathing, they need immediate help. This is very important because if the brain does not have enough oxygen, it will start to hurt after only 4 minutes. Babies can die in between 4 and 6 minutes. Cardiopulmonary resuscitation is a way to help a child regain breathing and chest compressions are a way to help the heart beat again before calling for help. If your child's heart is still beating, you should only help your child get his breath back. Do not press the chest of a child over 1 year old while the heart is still beating. You may need to press the baby's chest if their heart is beating too weakly.

Steps

Part 1 of 2: Realizing what to do

1. Situation analysis. This is a very important step. You need to determine how the child needs help and whether the method is safe. You should:
   • Look around to see if it is safe for your child to regain breathing in that place. Avoid helping your child in a place where both you and the child are dangerous, for example in a place where a vehicle could be hit or in direct contact with the wire.
   • Check the child's condition. Gently touch the child and ask if he is okay. Do not shake or move the child because if the child injures the neck or spine, the situation is even worse.
   • If the child does not respond, yell out loud to have someone nearby call for an ambulance right away. If many people are standing around looking at you, point to one person and ask that person to call for help. If it's just you, help your child regain his breath in 2 minutes and then call 115.
2. Find out what the child needs. At times like these, the most important thing is to check if the baby is still breathing and if the heart is still beating.
   • Check your breathing. Bring your face closer to the baby so that your ears are near his nose and mouth. Observe the child's chest for breathing, listen to the breathing and pay close attention to see if you can feel the child's breath on your cheek. Check for breathing no more than 10 seconds.
   • Feel your heartbeat. Place your index and middle fingers on the side of the child's neck, just below the jaw.
3. Put the child in the right position for cardiopulmonary resuscitation. This is an important step to be taken with care, especially if there is a potential for spinal or neck injury. You should avoid strangling or twisting a young person. Put your baby in the correct position on his back.
   • If necessary, ask someone to help you gently turn the baby back into the supine position. Two people need to coordinate to do so that the child's spine is not crooked.
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Part 2 of 2: Recapturing Your Baby's Breath When Your Heart Is Beating

1. Put your head in the correct position to regain your breath. The head should be straight, not tilted to either side. Take the following actions to clear your airways and regain your breathing as effectively as possible:
   • Place one hand under the baby's chin and the other on top of the head. Slowly tilt your head back and lift your chin.
   • Cover the child's nose with his thumb and index finger. If your child is under one year old, this step is not needed as you can blow into his or her nose and mouth at the same time.
   • Do not move the head more than necessary if you think the baby has spinal cord damage.
2. Get your baby's breathing back. Take a deep breath and hold your face close to the baby so that your lips are close to his mouth and closed. If your baby is younger than a year old, you can blow in your child's nose and mouth at the same time. Blow gently and decisively into the child's mouth for one to a half seconds and see if the chest bulges.
   • After blowing into the baby's mouth, turn your head toward the baby's chest and see if the baby's chest goes down, as it will be breathing normally. If the chest is flat, it shows that you have blown effectively and the child's respiratory tract is not problematic.
   • If possible, wear a respirator with a one-way valve when blowing into the child's mouth to protect yourself from infections.
3. Clear up the airways if possible. If the airways are blocked, you may find that your breathing is not making the child's lungs bulge. You may even feel that the breath is being pushed back into your child's face instead of the child's body. If that happens, you need to check if the child's airways are blocked.
   • Open the child's mouth. Look inside to see if you see any food or foreign object that your child accidentally swallowed. If so, take them out.
   • Do not put your finger or any other object deep in the child's throat as you will likely push the foreign object deeper.
   • If you can't see any foreign objects, place the child's head in the correct position and breathe in the breath again. If you are unable to blow in the air, try using the abdominal push method to expel the object.
4. Continue to breathe breath. Let's continue blowing. You should blow into the child's mouth every 3 seconds. During inhalation, check your heart rate every 2 minutes, perform cardiopulmonary resuscitation and chest compressions if the heart is no longer beating. Please repeat these steps until:
   • Children breathe again. You may find that things get better if the child starts to cough or move.
   • Emergency team arrived in time. At that point, they'll handle the situation for you.
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