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Tube will not go in
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Child seems OK?
Ring Community
Paediatric Nurse
or GP for advice
or a visit or ring ward
Smaller size will not go in?
Cut off a piece of suction catherter and insert.
Ring 999 for ambulance.
Try to slip the trachy over the catheter
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Child stops breathing
Call for help if someone in earshot.
Check if child is responsive.
Turn child onto back on firm flat surface
Tilt head back slightly to expose trachy.
Is trachy blocked? – Attempt suction.
Still seems blocked? – Attempt to change tube.
Look, listen, feel for breathing.
If not breathing, shout for help – get someone to dial 999.
Do not leave the child alone.
Commence basic life support immediately.
Give 5 breaths (either through trachy tube or direct to stoma
if tube change unsuccessful).
Check for signs of recovery.
If no pulse, give 5 chest compressions.
Give 20 cycles of 5 chest compressions to 1 breath.
After one full minute of basic life support, phone for help if no
one else has done so (dial 999).
Do not leave the child alone, even if breathing returns to normal.
Do not stop resuscitation until the child recovers or professional help takes over.
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