Unit Three
Lesson Three
Infant and Child CPR
Lesson Overview
Lesson Objectives
In this lesson, participants will learn how to perform
CPR. When an infant or child is unconscious, resulting
in a potentially life threatening emergency, the caregiver
must act immediately. CPR, if preformed accurately, can
save a life.
After completing this lesson, participants will be able to:
NOTE: The lesson is to be taught in conjunction with
Unit 3, Lesson 2.
• Demonstrate how to access medical care when needed
in a life-threatening emergency situation
• Explain and demonstrate the proper procedure(s)
a caregiver should administer in a life-threatening
emergency situation
• Demonstrate how to call for emergency medical assistance when needed
• Perform CPR for an unresponsive infant or child
Lesson at a Glance
In preparation for this lesson, take a first aid and CPR course, and/or read additional printed materials from creditable sources.
Materials
FOCUS
• Envelopes (one per group of two or three participants)
• Infant/Child CPR Steps (one per group of two or three
participants)
1. Purchase or obtain envelopes.
2. Photocopy Infant/Child CPR Steps, cut apart, and
place one set within each envelope.
10 minutes
LEARN
• PowerPoint: Slides 2-9
• RealCare® Babies with accessories
• Alcohol swabs (optional)
1. Prepare to display lesson PowerPoint or overhead
transparencies.
2. Set up Babies with accessories on a table at the front
of the classroom.
3. Purchase or obtain alcohol swabs.
30 minutes
• Check Your Skills worksheet (one per participant)
1. Photocopy participant worksheet.
5 minutes
REVIEW
Preparation
Approximate
Class Time
Activity
3.3-1
Handle with Care: Basic Infant Care
Infant and Child CPR
FOCUS: What Do I Do Next?
10 minutes
Purpose:
Materials:
This activity will help participants identify the proper
sequence of steps needed to perform infant/child CPR.
• Envelopes
• Infant/Child CPR Steps
Facilitation Steps:
1. Divide participants into groups of two or three.
2. Give each group of participants an envelope with one
set of Infant/Child CPR Steps inside.
3. Instruct participants to open the envelope, take out
the pieces of paper, and place them face up on their
table/desk. Explain that they are to arrange the pieces
of paper in sequential order, starting with the first step
of infant/child CPR at the top of their table/desk, the
second step directly below the first, and so on.
4. After five minutes, lead a class discussion by asking for
the first step of infant/child CPR, the second step,
and so on. Instruct groups to correct the order of their
steps, if necessary.
3.3-2
5. Instruct groups to turn their pieces of paper over, mix
them up, and repeat arranging them in sequential
order. This time, challenge groups to put the steps in
order as quickly as they can. The first group to complete this task “wins.”
6. Briefly review the proper sequence of steps needed to
perform infant/child CPR, ensuring all groups have
placed their pieces of paper in the correct order once
again.
Infant/Child CPR Steps
Unit Three—Lesson Three
Infant and Child CPR
Make sure the scene is safe for you and the infant/child.
Tap foot (infant) or shoulders (toddler) and shout, “Are you okay?”
If no response, shout for help. If someone comes, have them call for emergency medical assistance.
If no one comes, start CPR.
Gently place the infant/child on a firm, flat surface.
Open the airway by tilting the head and lifting the chin.
Look, listen, and feel for breathing (5 to 10 seconds).
If not breathing, give two breaths (one second each). Watch for chest to rise with each breath.
Quickly remove clothes from the front of the chest so that you can perform chest compressions.
Give 30 chest compressions (100 per minute) then give two breaths. After each compression,
release pressure on the chest letting it come back to is normal position.
After five sets of 30 chest compressions and two breaths, call for emergency medical assistance if not already done so.
Answer all of the dispatcher’s questions then return to the infant/child and start the steps of CPR again.
Keep giving sets of 30 chest compressions and two breaths until the infant/child starts to
move or trained medical help takes over.
3.3-3
Handle with Care: Basic Infant Care
Infant and Child CPR
3.3-4
Unit Three—Lesson Three
Infant and Child CPR
LEARN: Infant/Child CPR
30 minutes
Purpose:
Materials:
This activity helps participants learn about the life saving
skills needed to perform infant/child CPR.
• PowerPoint: Slides 2-9
• RealCare® Babies with accessories
NOTE: If you have CPR mannequins, you are
encouraged to use them for this activity. If you do
not have CPR mannequins, use Baby; however, it is
imperative that rescue skills are simulated.
• Alcohol swabs (optional)
Facilitation Steps:
1. Briefly review Unit 3, Lesson 1 with participants:
check, call, care and how to call for emergency medical assistance.
2. Display Slides 2-4 and demonstrate how to perform
infant (age 0-1 year) CPR.
3. Give each participant or group of participants Baby
and have them practice the techniques you modeled.
Circle the room and offer assistance and answer questions as necessary. If you choose to have participants
put their mouths on Baby for rescue breaths, use alcohol swabs to clean Baby between participants. Remind
participants to perform chest compressions with care.
NOTE: If participants are sharing Baby, consider
assigning a number (i.e., 1, 2, 3) to each participant
within the group such that 1 practices first, while 2
and 3 observe and peer evaluate, and vice versa.
4. Display Slides 5-7 and demonstrate how to perform
child (age 1-8 years) CPR.
5. Have participants practice the techniques you modeled. Circle the room and offer assistance and answer
questions as necessary. If you choose to have participants put their mouths on Baby for rescue breaths,
use alcohol swabs to clean Baby between participants.
Remind participants to perform chest compressions
with care.
6. Be sure to reinforce the differences between infant
and child CPR:
Hand position:
• Two fingers on infant’s sternum
• One heel of hand on child’s sternum
Mouth position:
• Mouth over infant’s nose and mouth
• Mouth over child’s mouth
7. Display Slides 8-9 and briefly discuss.
3.3-5
Handle with Care: Basic Infant Care
Infant and Child CPR
REVIEW: Check Your Skills
5 minutes
Purpose:
Materials:
This activity assesses the rescue skills demonstrated and
practiced within this lesson.
• Check Your Skills worksheet
Facilitation Steps:
1. Explain that the skills demonstrated and practiced
within this lesson will be assessed.
2. Divide participants into pairs.
3. Give each participant a photocopy of the Check Your
Skills worksheet and have them complete it. Circle
the room and offer assistance and answer questions as
necessary.
3.3-6
Unit Three—Lesson Three
Check Your Skills
Infant and Child CPR
Name: ____________________________
Date:
____________________________
Directions: Take turns with your partner demonstrating and assessing the rescue skills you have learned. For example,
one will demonstrate the steps to perform infant CPR while the other checks off each step as it is performed. If any
steps are missed or performed incorrectly, stop, explain the correct procedure, and practice the sequence of steps
again. Peer evaluators: be sure to add up the total points earned for each skill, make any comments and/or notes as
needed, and sign at the conclusion of the demonstration.
Infant (Age 0-1 Year) CPR
Excellent
Good
Fair
Poor
4
3
2
1
1. Make sure the scene is safe.
2. Tap the infant’s foot and shout, “Are you okay?”
3. If no response, shout for help:
• If someone comes, have them call for emergency
medical assistance.
• If no one comes, start CPR.
4. Gently place the infant on a firm, flat surface.
5. Open the infant’s airway (tilt head and lift chin).
6. Look, listen, and feel for breathing (5 to 10 seconds).
7. If not breathing, seal your mouth over the infant’s nose
and mouth and give two breaths (one second each, removing your mouth after each breath). Watch for the infant’s
chest to rise with each breath.
8. Quickly remove clothes from the front of the chest.
9. With two fingers just below the nipple line, give 30 chest
compressions (100 per minute) then two breaths. Release
pressure after each compression.
10. After five sets of 30 compressions and two breaths, call
for emergency medical assistance if you have not already
done so.
11. Answer all dispatcher questions, then return to the
infant and start the steps of CPR again.
12. Keep giving sets of 30 compressions and two breaths
until the infant moves or trained help takes over.
Total Points Earned: __________
Comments/Notes:
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
Peer Evaluator Signature: ___________________________________________
3.3-7
Handle with Care: Basic Infant Care
Infant and Child CPR
Check Your Skills
(cont.)
Child (Age 1-8 Years) CPR
Excellent
Good
Fair
Poor
4
3
2
1
1. Make sure the scene is safe.
2. Tap the child’s shoulder and shout, “Are you okay?”
3. If no response, shout for help:
• If someone comes, have them call for emergency
medical assistance.
• If no one comes, start CPR.
4. Gently place the child on a firm, flat surface.
5. Open the child’s airway (tilt head and lift chin).
6. Look, listen, and feel for breathing (5 to 10 seconds).
7. If not breathing, plug the child’s nose, seal your mouth
over the child’s mouth, and give two breaths (one second
each, removing your mouth after each breath). Watch for
the child’s chest to rise with each breath.
8. Quickly remove clothes from the front of the chest.
9. With the heel of one hand on the child’s sternum, give 30
chest compressions (100 per minute) then two breaths.
Release pressure after each compression.
10. After five sets of 30 compressions and two breaths, call
for emergency medical assistance if you have not already
done so.
11. Answer all dispatcher questions, then return to the child
and start the steps of CPR again.
12. Keep giving sets of 30 compressions and two breaths
until the child moves or trained medical help takes over.
Total Points Earned: __________
Comments/Notes:
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
Peer Evaluator Signature: ___________________________________________
Skill
Points Possible
Total Points Earned
Infant CPR
48
__________
96-86
A
Child CPR
48
__________
85-76
B
TOTAL POINTS
96
__________
75-67
C
66-57
D
56-0
F
3.3-8
Grade
Unit Three—Lesson Three
Infant and Child CPR
Additional Resources
Publications:
American Heart Association®. (2006). Heartsaver® CPR
in Schools® student workbook. Dallas, TX: American
Heart Association®.
American Heart Association®. (2006). Heartsaver® first
aid with CPR and AED. Dallas, TX: American Heart
Association®.
American Red Cross. (2007). American Red Cross
babysitter’s training handbook. Washington, CD: American Red Cross.
Organizations and Web Sites:
American Academy of Pediatrics
www.aap.org
American Heart Association®
www.americanheart.org
American Red Cross
www.redcross.org
KidsHealth®
www.kidshealth.org
MedlinePlus®
www.medlineplus.gov
National Institutes of Health (NIH)
www.nih.gov
U.S. National Health Education Standards Supported
1.5.3-5, 1.8.3, 1.8.5, 1.8.8-9, 1.12.5
3.5.2, 3.8.2, 3.8.4-5, 3.12.4-5
4.5.4, 4.8.4, 4.12.4
5.5.1-2, 5.5.4-6, 5.8.2-3, 5.8.5-7, 5.12.2, 5.12.5-7
7.5.3, 7.8.3, 7.12.3
U.S. National Standards for Family and Consumer Sciences
Education Supported
Reasoning for Action: 4.4, 4.7-11, 4.13
1.2, 1.2.6-7
3.3-9
Handle with Care: Basic Infant Care
Infant and Child CPR
3.3-10
Unit Three—Lesson Three
Infant and Child CPR
3.3-11
Handle with Care: Basic Infant Care
Infant and Child CPR
3.3-12