Unconscious but breathing - infants

 

Introduction

If an infant does not respond to the sound of your voice or to gentle pressure, it is likely they are unconscious.

In this context, 'infant' refers to a child less than one year old.

Recogntion and treatment

Look for

Unconscious - infant

  • To confirm if the infant is unconscious and not breathing complete the steps of the primary survey - Danger, Response, Airway, Breathing (DRAB).

Check for danger

Check for danger - infant

  • Are you or they in any danger?
  • If you have not already done so make the area safe and then assess them.

Check for a response

Check response - infant

  • Tap or flick the sole of an infant's foot to try to elicit a response
  • Do not shake an infant
  • If they respond check for severe bleeding and other injuries
  • Shout for help.

Open the airway

Open airway (infant)

  • Open the airway, placing one hand on the forehead and using one finger to lift the chin.

Check breathing

Check breathing (infant)

  • Position your cheek close to their mouth
  • Look, listen and feel for no more than 10 seconds:
    • look to see if the chest is rising and falling
    • listen for breathing
    • feel the breath against your cheek
  • If they are not breathing refer to the treatment for someone unconscious and not breathing - infants.

Put them in the recovery position

Recovery position - infant

  • Cradle the infant in your arms, with his head tilted downwards to prevent him from choking on his tongue or inhaling vomit
  • Monitor and record their level of response, pulse and breathing until medical help arrives.

Call for help

Stroke Time to dial 999

  • Call 999/112 for emergency help.
 

More information about unconscious and breathing infants

If you suspect spinal injury, use the jaw thrust technique. Place your hands on either side of their face. With your fingertips gently lift the jaw to open the airway. Take care not to tilt their neck.

Agonal breathing

This is common in the first few minutes after a sudden cardiac arrest. It usually takes the form of sudden irregular gasps for breath. It should not be mistaken for normal breathing and if it is present chest compressions and rescue breaths (together called cardiopulmonary resuscitation or CPR) should be started without hesitation.

Related topics

Next steps

Take a first aid course

The advice provided in this section is no substitute for proper first aid training.

St John Ambulance holds first aid courses throughout the country. The following courses cover this topic: 

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