Nursing Component Task
Nursing procedures & clinical learning

Paediatric Nursing (PAED)

CARDIOPULMONARY RESUSCITATION (CPR) OF AN INFANT (BELOW 1 YEAR)

This is emergency life-saving procedure performed when an infant's heart and/or breathing has stopped.

Purpose

  • Restore circulation
  • Provide oxygenation
  • Prevent brain damage
  • Support until advanced care

Indications

  • Cardiac arrest
  • Respiratory arrest
  • Unconsciousness with no breathing

Equipment

  • Infant bag-mask
  • Oxygen source
  • Suction
  • AED with pediatric pads
  • Emergency medications
  • Airway adjuncts

Preparation

  • Know infant BLS algorithm
  • Prepare infant-sized equipment
  • Assign team roles

Procedure steps

  • Ensure scene safety
  • Check responsiveness (tap foot)
  • Call for help
  • Check breathing and brachial pulse (max 10 seconds)
  • If no pulse, begin compressions
  • Use two fingers or two-thumb encircling technique
  • Compress 1/3 AP diameter (about 4cm)
  • Rate: 100-120/min
  • Ratio: 30:2 single rescuer, 15:2 two rescuers
  • Open airway with neutral position
  • Give gentle puffs for breaths
  • Continue cycles
  • Use AED with pediatric pads when available

Precautions

  • Use appropriate compression depth
  • Avoid excessive force
  • Maintain neutral head position
  • Minimize interruptions

Aftercare

  • Continue until ROSC or termination
  • Provide post-resuscitation care
  • Support family

Nursing considerations

  • Use infant-appropriate technique
  • Consider congenital conditions
  • Work efficiently as team

Patient education

  • Parent education after stabilization

Documentation

  • Time of arrest
  • Initial rhythm
  • Interventions and times
  • ROSC time
  • Medications given

References and further reading

Educational resource only. Follow current Nursing and Midwifery Council guidance, local institutional protocols, scope of practice, and clinical supervision.

Open Component Task app