Infant CPR while holding the baby on your arm...What?

Nurses General Nursing

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I currently work in corrections and the annual CPR course they teach at my facility is not certified by AHA or American Red Cross. It is from the American Safety and Health Institute.

Anyway, while teaching the infant CPR portion, the instructor said you can perform CPR on an infant while carrying it on your arm. Since I was coming off of a long stretch of work nights and the course was during the day, I assumed my sleep-deprived self heard wrong. Later during the demonstration check-off one of my co-workers was having a hard time getting the infant dummy's chest to rise. She was having difficulty bending over the table due to a recent surgery. The instructor decided that this was the perfect time to reiterate the fact the you can perform infant CPR while holding the baby on your arm, head toward the crook of the elbow. Of course, my co-worker couldn't deliver effective breaths while holding the baby because it was impossible for her to correctly position the airway while holding the baby like that.

Did I miss something? When did they start teaching this technique? I thought I was going to fail the infant check off because I disagreed with this technique. In the past I have worked in newborn nurseries and in a NICU. I just find it hard to believe that this is an acceptable technique and I ruffled a few feathers when I politely tried to explain this to the instructor.

Has anyone out there heard of this before?

Specializes in Surgical ICU, PACU, Educator.

The size of the infant will have a relationship to the ability to do this on your arm. I taught this in many classes as a way to go for help. Supporting the head and neck in the palm of the hand allows control of the airway. The forearm provides support to the back. To the rescuer at home alone this provides a invaluable way to seek a phone or other 911 assistance.

Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.
In the same position as choking and do CPR with the fingers of your other hand

infantcprproperpositioning.jpghttp://www.moondragon.org/healthcare/cprinfantoneperson.html

http://tinyurl.com/27qxpzp

one method IS prefered to the other but if you cannot do one then the other is done!

I'm looking at the BLS book for Healthcare Providers published by the AHA right now. I have to recert next week. The pictures in the book show the infant on a flat surface. The video provided for demonstration also shows the infant on a flat surface. Perhaps holding the infant is taught to non-healthcare providers?

Um I am a nurse and have always learned it that way- optional to use a flat surface.

Specializes in Hospice, ER.

I have always been taught this way in BLS for healthcare providers and ACLS just this past year. I'm sure a flat surface is more ideal when possible, though. Like others have said, the football type hold with the head in your hand would probably best for if you need to move around to call EMS, transporting between ambulance ED, etc.

I'm looking at the BLS book for Healthcare Providers published by the AHA right now. I have to recert next week. The pictures in the book show the infant on a flat surface. The video provided for demonstration also shows the infant on a flat surface. Perhaps holding the infant is taught to non-healthcare providers?

My certification is through AHA for healthcare providers and we were taught to hold the baby in our arm.

Specializes in Spinal Cord injuries, Emergency+EMS.
I think you guys are mixing up infant "CPR" with infant "choking".

no they aren't

When an infant's choking you will use your arm and thighs. Never heard of infant CPR performed on the arm, I mean how do you give rescue breaths???

you raise your hand ( cradling baby's head ) and arm towards your mouth and give the rescue breaths mouth to mouth-and-nose

you then lower you arm and compress between the fingers of the free arm and your forearm under baby's back

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