When providing care for an unresponsive infant with an obstructed airway, what is the most appropriate first action you should take when you are alone?

• A. Attempt to remove the obstruction with a blind finger sweep before starting compressions.
• B. Deliver five back blows followed by five chest thrusts before checking responsiveness.
• C. Immediately leave the infant to activate the emergency response system before providing any care.
• D. Begin cycles of 30 chest compressions and 2 rescue breaths, then activate emergency response after 2 minutes.

Answer: (D)

Verified step by step guidance

1. Step 1: Assess the situation and confirm that the infant is unresponsive and has an obstructed airway. Ensure the environment is safe for providing care.
2. Step 2: Position the infant on a firm, flat surface, such as a table or the ground, and ensure their airway is open by gently tilting the head back and lifting the chin.
3. Step 3: Begin cycles of 30 chest compressions using two fingers placed just below the nipple line on the infant's sternum. Compress the chest about 1.5 inches deep at a rate of 100-120 compressions per minute.
4. Step 4: After completing 30 chest compressions, deliver 2 rescue breaths. To do this, cover the infant's nose and mouth with your mouth, create a seal, and gently blow air into their lungs while watching for chest rise.
5. Step 5: Continue the cycles of 30 chest compressions and 2 rescue breaths for 2 minutes before activating the emergency response system if you are alone. This ensures the infant receives immediate care before help arrives.