Child CPR – Two Rescuer
25
August

By Adem Lewis / in , , , , , , /


Now in this training segment, we’re going
to cover how to incorporate two rescuers for a child in CPR for the healthcare professional.
We’re still gonna make sure the scene is safe, our gloves are on. Whether we have a rescue
mask with a one way valve or whether we’re using a full BVM. We have a partner with us
that’s going to help us with the rescue breathing. And in this case, Jody will be using the Bag
Valve Mask. Now, we’re still gonna call out to the patient. Hey, child are you okay? Are
you all right? They don’t respond, so we tap and shout. Are you okay? Can you hear me?
They still don’t respond. Now’s the time we call 911, activate EMS, call the code, or
send a bystander to go call 911 and come back with an AED if they have one. It’s now at
this time I’m going to access for regular breathing and a pulse. Jody, this patient
is not breathing normally and there is no pulse. I’m gonna begin CPR. I draw an imaginary
line between the nipples and place the palm of one hand on the sternum. If this is a large
child, I’m gonna use two hands. If it’s a small child, I’m gonna use one hand. That’s
a variation from the adult to the child in CPR compressions. In this case, he’s probably
big enough. I’m gonna use two. Now I’m gonna do one-third the depth of the chest compressions
at a rate of between 100 and 120 per minutes. But we’re gonna change to 15 compressions
for every 2 rescue breaths because we have 2 rescuers doing the CPR. So I’m gonna do
that now. 1 and 2 and 3 and 4 and 5 and 6 and 7 and 8 and 9 and 10 and 11 and 12 and
13 and 14 and 15. Now hear’s where we’re approaching the two minute mark. And remember with two
rescuers, we’re gonna be switching out compressors approximately every two minutes so that we
have a fresh compressor on the chest able to ensure that third of the depth of the compression
at a rate of 100 to 120 times per minute. So at the last set before we reach that two
minute mark, I’m gonna say we need to switch. And 2 and 3 and 4 and 5 and 6 and 7 and 8.
9 and 10, 11 and 12, 13, 14, 15. He delivers the two more rescue breaths as I situate myself
to the head of the bed. I take over the rescue breaths while Jody jumps right on doing chest
compressions. He does 15 compressions. Speaker 2: 10, 11 and 12, 13, 14, 15. Speaker 1: I
give two rescue breaths. One in. Two rescue breaths in. He continues. Speaker 2: 2, 3,
4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15. Speaker 1: Now let’s say two minutes has gone
by again. He’ll yell out the switch. I’ll finish with the two rescue breaths. He takes
back over on the Bag Valve Mask and I come back around and jump right back into doing
chest compressions. So there’s this minimization of pause between the switch, the rescue breaths,
and chest compressions so that we never leave too much time without somebody’s hand on the
chest doing a deep compression. This helps to bring the pulse pressures up. It helps
to keep the blood pressure high as we can with this artificial compression of the heart
muscle. And it allows for us to ensure that this child has the best chance at survivability
with the least amount of chance of brain damage that we can give them. It’s this kind of teamwork
that brings the high quality chest compressions that we’re looking for to give our patients
their best chance and a second chance at life.


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