Administering chest compressions

Richard Pass, RN Registered Nurse & CPR Expert, shares advice on how to properly administer chest compressions and perform CPR
Pediatric First Aid - How To Administer Chest Compressions
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Administering chest compressions

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The location for chest compressions in all human beings has now been streamlined and simplified. So in fact, we're pumping at a location that involves the breastbone itself and the nipple line. And where those two merge, right in the middle of the chest, is the location for our compressions. The compressions should occur at least 100 times per minute, which is pretty quick, and should be about 1/3 the depth of the baby's chest wall. So as I put her down and line up perpendicular to her, I have one finger at the nipple line and one just below and pump thus: 1, 2, 3, 4, 5, 6, 7, 8, 9, 10 and so forth up to 30. Once I hit 30 compressions, I will then drop down and administer two small rescue breaths, each one resulting in a small rise and fall of the chest wall of the baby. And that's really the format, is 30 pumps and two breaths from the moment I discover this baby until the arrival of the paramedics.

Richard Pass, RN Registered Nurse & CPR Expert, shares advice on how to properly administer chest compressions and perform CPR

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Richard Pass, RN

Registered Nurse & CPR Expert

Richard Pass, RN, BS, was born in Los Angeles. He studied nursing in Portland, Oregon and has since practiced nursing for 35 years, including ICU, Emergency, and Cardiology nursing. Richard started his CPR & Family Safety educational company, Save a Little Life, Inc., in 1999. With Save a Little Life, Inc., Richard presents house calls and classes all over the Los Angeles area. He teaches medical-surgical nursing at California State University, and is married with two grown children and one grandchild.

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Transcription: 
The location for chest compressions in all human beings has now been streamlined and simplified. So in fact, we're pumping at a location that involves the breastbone itself and the nipple line. And where those two merge, right in the middle of the chest, is the location for our compressions. The compressions should occur at least 100 times per minute, which is pretty quick, and should be about 1/3 the depth of the baby's chest wall. So as I put her down and line up perpendicular to her, I have one finger at the nipple line and one just below and pump thus: 1, 2, 3, 4, 5, 6, 7, 8, 9, 10 and so forth up to 30. Once I hit 30 compressions, I will then drop down and administer two small rescue breaths, each one resulting in a small rise and fall of the chest wall of the baby. And that's really the format, is 30 pumps and two breaths from the moment I discover this baby until the arrival of the paramedics.