Emergency Protocol

What is the meaning of the word ACT?

Your Liip Care appliance will notify you with the message ACT if it detects that the measurements collected by Liip Smart Monitor could be indicating a risk for your baby.

The action protocol has been developed following the latest scientific evidences.

Which steps should be followed?

  1. Visually confirm the state of your baby and the correct positioning of the bracelet, in order to rule out a positioning error.
  2. Verify your baby breathes and has pulse by approaching your ear to the baby's chest and mouth.
  3. If you get a response. You should leave the baby in the position you found it (unless it is exposed to any additional danger), confirm the baby's state and ask for help if it were needed.
  4. If you do not get a response, ask for help. If the child is unconscious you must ask for help to someone nearby. If there is no one nearby, you must not leave the child alone.
  5. Place the baby facing up. You must lay the baby facing up on a flat and rigid surface, with the head, mouth and extremities aligned. It is important to avoid bending the head or neck.
  6. Open the airways. In order to open the airways, the head tilt and jaw thrust will be carried out to ease the entrance of air through the mouth. To avoid the tongue from falling backwards, you hold de head pushing the forehead backwards with one hand, and with the other hand push the chin upwards . In case of presence of a visible foreign body, and it is easy to extract from the mouth, try to get it out with your fingertips, but never carry out blindly a scanning of the oral cavity.
  7. Evaluate and verify the child's breathing. You must place your ear near the baby's nose and mouth and observe the thorax to confirm if it is breathing. You will observe, listen and feel during no longer than 10 seconds before deciding if the baby breaths normally. If there is any doubt, act as if it were NOT normal. (Step 10)
  8. If it breathes you will place it in Lateral safety position, whenever possible. Then call emergencies and control constantly the breathing of the baby until the health providers arrive.
  9. For breastfeeding babies, the Lateral safety position is complicated. You should try to lay the breastfeeding baby on a rigid surface, even if a support is needed, because this will improve the permeability of the airways and decrease the risk of chocking with vomit or secretions.
  10. If the child does not breath and you are accompanied by another person, you must indicate them to call emergencies. Meanwhile, you must not separate yourself from the child and you will start (mouth-mouth) artificial respiration. For it, you will put yourself in a kneeling position next to the baby's head and carry out the following steps:
    1. Open the airways.
    2. Cover the child's nose.
    3. Inspire deeply.
    4. Place your lips around the child's mouth (if the child is less than one year you can cover the mouth and nose at the same time so it is completely sealed).
    5. Give the child 5 uniform breaths (blows) until you see that the child's thorax rises. Move your mouth away to inspire, and observe that the thorax falls again. Between each breath you must keep the position of the head and hands, but you must move your mouth away to ease respiration. While you give the rescue breaths, you must verify if there is any response through movement, respirations or cough. If you cannot get the air in, you should suspect that there is some object obstructing the airways. Consult how the manipulation of the foreign-body airway obstruction (FBAO) or chocking is carried out.
  11. Verify signs of life. To verify the signs of life you will have to observe coughing signs, movements or respiration.
    1. If you see signs of life: continue with the mouth-mouth respiration at a rhythm of 20 per minute until the assistance services arrive, constantly verifying the breathing status and the heartbeats.
    2. If you do NOT see any signs of life: if the child is still unconscious, does not breath, does not move or has a strange colour, these are signs that the heart is not beating. You will start the chest compressions.
  12. Carry out the chest compressions. The objective is to compress the thorax towards the back in a rhythmic way to make the blood come out of the heart and circulate around the body. Place the child facing up on a flat and rigid surface, with the extremities in line and carry out the following steps:
    1. Place the heel of your hand on the sternum, right under the nipples, never on the edge of the sternum. For children less than 1 year old you will place 2 fingers and on children older than 8 years you can use both hands.
    2. Place the other hand holding the forehead a bit inclined backwards.
    3. Apply pressure downwards on the child's chest compressing between 1/3 and 1/2 of its profundity.
    4. Carry out 30 compressions and leave the chest to rise completely. These compressions should be fast and hard with no pausing.
    5. Then, give the child 2 breaths more.
    6. Continue with the cardiopulmonary resuscitation (CPR) (30 cardiac compressions, followed by giving 2 breaths and repeat).
  13. Call emergencies and verify the signs of life. If a minute after starting the CPR you are still alone and have not been able to call emergencies, you should do it now, even though you have to leave the child alone momentarily.
  14. 2 minutes after you should confirm the efficiency of the operation: appearance of signs of life or spontaneous respiration.
  15. End the CPR. You should continue combining 30 chest compressions with giving 2 breaths until:
    1. Professional help arrives.
    2. The victim recovers its effective respiration.
    3. We are exhausted.

It is important to remember that it is not advisable to carry out resuscitation techniques with the breastfeeding baby in your arms and in movement. Only exceptionally can you move the child, in case you move to ask for help or continue the techniques in another place.

* This information is an excerpt from the Information Sheets for parents of the Spanish Pediatric Emergency Society and the Pediatric Emergency Protocols, you can find the information in full