• Establish unresponsiveness in the infant. An effective way to do this is to tap the bottom of the baby's feet. Infants don't like this, so if they are able, it should wake them up.
• If someone else is around have them call for help.

• Open the airway using the head tilt/chin lift method. Do not hyper-extend the baby's neck. Infant airways are like straws; if you bend them too far back, it can close the airway off again. Place the baby's neck in a neutral position-their chin shouldn't be touching their chest, but it shouldn't be pointing straight up in the air either.
• Look, Listen, and Feel for breathing.

• Give two slow breaths, placing your mouth over the infant's mouth and nose. Infants are primarily nose breathers, so it is important to cover their nose as well. When giving the breaths, only give enough to see the chest rise. Remember, you can give too much air.

• Check for a pulse. This is done by placing two fingers in the brachial area just above the infant's elbow. You should be able to feel a pulse in between the muscle and the bone.
• If a pulse is present, but the infant is not breathing, give a rescue breath every three seconds.
• If there is no pulse, give 5 chest compressions. Compressions are done using two fingers and pressing down one finger width below the nipple line. An easy way to find this point is to place one finger on the imaginary line between the nipples on the breast bone, with two fingers below this finger. Then pick the finger up that is on the imaginary line. Compressions should be ½ to 1 inch deep, and at a rate of approximately 120 per minutes.

• After delivering the 5 chest compressions, give one breath.
• Repeat this cycle of 5 compressions to 1 breath 20 times. This should take approximately one minute.
• After 1 minute, stop and reassess the pulse and breathing status. If help has not been called, go call for help now. Since infants are small, it is convenient to take them with you. Continue the compression/breath cycle, reassessing pulse and breath conditions after every few minutes.

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