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So let's take a closer look at the anatomical
landmarks of a baby. Now a baby is normally
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categorized as any child that under one year
of age but there's some important things to
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think about when we're talking about babies.
This is a nice healthy baby. You can tell
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because her lips are nice and pink. Her mucous
membrane is nice and pink. Her nail beds are
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nice and pink she's moving around and she
doesn't seem to be in distress whatsoever.
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A baby who might be in distress especially
respiratory wise would maybe have some circle
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moral cyanosis blue around the lips and around
the the mucous membrane. Her nail beds might
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also be blue. Don't confuse that with a cold
hand on the baby because that can turn blue
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as well, pretty easily. But I really want
to pay special attention to the anatomical
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landmarks that are going to be really important
to identify where we are actually treating
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a baby with CPR or with chest compression's
for a choking baby unconscious. So let's take
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a little closer look at some of those important
landmarks that we talked about. As we open
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up the onesie we can see the mid nipple line
it's important for us to know that we need
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to put our two fingers on the center of the
chest right on the sternum, just barely below
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that mid nipple line. That's when we're gonna
do that one-third of the depth of the full
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chest for our compressions at a rate of 100
to a hundred and twenty times per minute.
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You can also see now that I have that open
this brachial artery location is right here
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right between the bicep and tricep against
their little humorous bone, because they really
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don't have much of a neck to find a carotid
artery so we have to actually use the brachial
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artery for that location. Another thing to
keep in mind is you can really see here that
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they like to you know they've got such a big
head compared to the rest of their body that
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tends to put their chin down on their chest.
So we're gonna want to just get something
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a little bit underneath their shoulder blades
is a nice shortcut that still firm and won't
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let them sink into the mattress we were doing
compressions, but that helps to hold their
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head in that slipping position. These are
all important landmarks when it comes to where
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to actually do the compression's the only
other variation is the circumferential compressions
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where we hold around the baby's chest and
we place our thumbs right in that same sternum
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a location. We're also going to take note
that this baby's airway is literally only
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the size approx of their little pinky. That's
a pretty small airway and so as opposed to
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a child and an adult we do a head coach in
lifts open the airway, a strong head tilt
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chair lift or a chin to the chest sometimes
is enough to actually occlude the airway and
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make it difficult for a baby to breathe. So
that's why we put them into a sniffing position
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and not a full head tilt chair lift Now you
can see to that the size of their fists is
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pretty small, that's approximately the size
of their heart. It's located right under the
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sternum in the center of their chests. These
are all important anatomical landmarks as
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we move into the actual training segments
of how to give effect of CPR and chest compressions
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for the unconscious choking patient.
