11 When providing chest compressions to a newborn it may be reasonable to deliver 3 compressions before or after each inflation. Compressions should be delivered on the lower third of the sternum to a depth of 13rd of the AP diameter of the chest.
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8 Recommended compression depth in adults and children is of 5 cm 2 inches and in infants it is 4 cm 16 inches.
. This is based on a compression rate of 100-120 compressions per minute a compression depth of 56 centimeters into the chest full chest recoil and a ventilation rate of 10 breath ventilations per minute. After defibrillation chest compressions should be continued for two minutes before a rhythm check is again done. Although a few EMS systems have demonstrated the ability to significantly increase survival.
8 In adults rescuers should use two hands for the chest compressions one on the top of the other while in children one hand can be enough and with babies the rescuer must use only two fingers. If the heart rate is between 60 and 100 beats per minute stop the chest compressions and continue ventilation at 40 to 60 breaths per minute. Compression with 2 thumbs with fingers encircling the chest supporting the back compression with 2.
Only 11 percent of patients treated by emergency medical services EMS personnel survive to discharge Daya et al 2015. Chest compressions are a rare event in full-term newborns approximately 01 but are provided more frequently to preterm newborns. Providing 30 inflations and 90 compressions per minute 31 ratio for 120 total.
If the heart is still beating at a rate below 60 beats per minute the baby should be intubated to continue ventilation. Vellano et al 2015. After about a minute of chest compressions check the babys heart rate.
Overall outcomes from out-of-hospital cardiac arrest OHCA both in terms of survival and neurologic and functional ability are poor.
Part 11 Neonatal Resuscitation Circulation
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