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First d and-. 0.0 Sur,vlvalr- Guide* sue _ athing for and 'hildren _u.ing: eking Ierious scious am Res cWe Breathing for Infants and Small Children 1. Check for breathing by carefully -tilting the child's head back to open the airway. It.should not be tilted as far back as an adult's, even less for. infants. Look, listen and feel for breathing. If tilted back too far, it will make the obstruction worse. 2. if not breathing, cover the child's mouth AND nose with your mouth. Initially give 2 full, slow breaths in succession. Allow 1 to 1% seconds per breath. For infants, give 2 slow, gentle breaths at 1 to 11h . seconds per breath. 3. Blow air in with less pressure than for -an adult. Give small puffs. A child needs less air. 4. Feel the chest inflate as you blow. 5. Listen for air escaping. 6. Repeat once every 3 seconds (20 breaths per minute). Please Note: Keep up Rescue Breathing until help arrives to relieve you. Remember, you are doing the breathing for the victim. If you stop, the victim could die in about 4-6 minutes. Even if the victim should begin to breathe on his/her own, call for professional help. I&MIUMNIFIF6 • Warning Sign: The universal distress signal indicates an airway obstruction. 1. For a choking victim who can speak, cough or breathe, do NOT interfere. If the choking continues without lessening, call for. emergency medical help. 2. For a choking victim who cannot speak, cough or breathe, have someone call for emergency medical help and take the following action_ For a Conscious Victim. a. Stand behind the victim, who can be standing or sitting. b. Wrap your.arms around his/her middle, just above the navel. c. For adults, clasp your hands together in a doubled fist and press in and up in quick thrusts. Be careful not to exert pressure against the victim's rib cage with your forearms. For infants, position along the inside length of the rescuer's arm. Apply firm, controlled blows with the other hand to the infant's back between the shoulder blades. Repeat procedure until the victim is no longer choking or becomes unconscious. For an Unconscious Victim a. Place the victim onAhefloor or ground and give Rescue Bre {see flescue Breathing section). If the victim does not start breathing and it appears that year air is not going intq the victim's lungs, try giving 2 more breaths. b. With the victim remaining on his or her back, try giving manual thrusts. To give the thrusts to adults, place one of your hands on top of the other with the heel of the bottom han in the middle of the abdomen, slightly above the navel and below the rib cage. Press into the victim's abdomen with a . quick upward thrust. Repeat 6 10 times if needed. Do not prez to either side. For infants, give 4 back blow: Then give 4 chest thrusts by placing two fingertips over th( center of the chest and depressing 1 inch.