First Responder EMS Curriculum for Training Centers in Eurasia

4. Repeat steps 1 through 3 until the object is dislodged and the airway is patent or forapproximately 1 minute. If the infant remains unresponsive after approximately 1 minute,activate the EMS system.5. If breaths are effective, check for signs of circulation and continue CPR as needed, or placethe infant in a recovery position if the infant demonstrates adequate breathing and signs ofcirculation.If the child victim becomes unresponsive, place the victim in the supine position and perform thefollowing sequence:1. Open the victim's airway using a tongue-jaw lift and look for an object in the pharynx. If anobject is visible, remove it with a finger sweep. However, do not perform a blind fingersweep.2. Open the airway with a head tilt-chin lift, and attempt to provide rescue breaths. If breaths arenot effective, reposition the head and reattempt ventilation.3. If the breaths are still not effective, kneel beside the victim or straddle the victim's hips andprepare to perform the Heimlich maneuver abdominal thrusts as follows:a. Place the heel of one hand on the child's abdomen in the midline slightly above the navel andwell below the rib cage and xiphoid process. Place the other hand on top of the first.b. Press both hands onto the abdomen with a quick inward and upward thrust. Direct each thrustupward in the midline and not to either side of the abdomen. If necessary, perform a series ofup to 5 thrusts. Each thrust should be a separate and distinct movement of sufficient force toattempt to dislodge the airway obstruction.Figure 43. Abdominal thrusts performedfor supine, unresponsive child.4. Repeat steps 1 through 3 until the object is retrieved or rescuer breaths are effective.5. Once effective breaths are delivered, assess for signs of circulation and provide additionalCPR as needed or place the child in a recovery position if the child demonstrates adequatebreathing and signs of circulation.First Responder EMS Curriculum/AIHA, July 2002 383