6-3

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6-3. ADMINISTER TWO VENTILATIONS

If the child or infant is not breathing, administer two ventilations. If you are able to seal your mouth over both the casualty's mouth and nose at the same time, administer ventilations using the mouth-to-mouth-and-nose method. If you are not able to seal your mouth over both the mouth and nose, administer mouth-to-mouth or mouth-to-nose ventilations as described in paragraph 3-9. Administer smaller breaths with a child or infant since you do not need to blow as much air into his lungs for them to expand fully. The mouth-to-mouth-and-nose method is described in the following paragraphs.

a. Maintain the airway (modified head-tilt/chin lift or modified jaw-thrust).

b. Take a breath. Do not take a deep breath since you will not need to blow much air to inflate the casualty's smaller lungs.

c. Seal your mouth over the casualty's mouth and nose. Make sure that your mouth forms an air tight seal so that air will not escape when you blow air into his mouth and nose.

d. Blow a small puff of air (only enough to make his chest rise) into the casualty's mouth and nose. Observe the chest out of the corner of your eye as you administer the breath.

e. After blowing into the casualty's mouth and nose, break the seal over his face and allow air to escape. His chest should fall somewhat as air escapes after you break the seal. You may be able to hear or feel the exhaled breath also.

f. Take another breath, seal your mouth over the casualty's mouth and nose again, and administer a second puff of air. It should take about one second to administer each breath.

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