EN
General procedures for child emergency care
First aid – steps designed to save someone's life in the case of arrested breathing or blood circulation.
Warning: First aid should be administered by an experienced fi rst-aider!
The basic procedures of child emergency care include a sequence of steps designed to restore suffi cient
breathing and blood circulation in children who have suffered breathing or blood circulation arrest. The
following procedure applies to babies – newborns and infants:
1. Check the baby's consciousness
o
Call the baby distinctly and loudly.
o
If the baby does not respond, tap or scratch its sole to elicit the
baby's response (Fig. 1).
o
Alternatively, rub the baby's back with your hand for several se-
conds.
o
If the baby is lifeless and unresponsive, she is unconscious.
o
Call your local UK emergency rescue service on 999 or dial the Eu-
ropean emergency telephone number 112.
2. Open your baby's airway
o
Check the baby's mouth. Remove obvious obstacles and objects
with your fi ngertips.
o
Put one hand on the baby's forehead and tilt its head a little, while
gently lifting the chin with the fi ngers of your other hand (Fig. 2).
o
Keep the airway clear by placing some support under the baby's
shoulders.
o
If you suspect that the baby has inhaled a foreign object (i.e. the
breathing problem occurred suddenly – for instance, while eating,
playing with a tiny toy; or the baby is coughing, wheezing, has au-
dible diffi culty breathing, its face is reddish and neck and face are
swollen meanwhile the skin may turn blue or grayish), try to remove
the object from the airways as follows:
Give 3–5 backslaps
o
Position the baby with her face down on your forearm. Her head
must be lower than the rest of her body. Support her head and
body with your hands all the time (Fig. 3).
o
Give her 3–5 slaps between her shoulder blades with 2–3 of your
fi ngers or possibly with your hand; your hand must be oriented
away from the airways.
o
Alternatively, hold the baby by its ankles, (the ankle area must not
be covered with clothes), turn her with her head facing down and
perform the same maneuver. If the maneuver is not successful do
the following:
Give 3–5 chest thrusts
o
Position the baby with her face up on your forearm, tilting her head
gently (Fig. 4).
o
Press the lower half of the chest bone 3–5 times with two fi ngers.
Give her about 1 thrust in 3 seconds.
o
At the end of each step, check the baby's mouth to see if a foreign
object has been dislodged.
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Fig. 1
Fig. 2
Fig. 3
Fig. 4