Basic Life Support (BLS) course

Figure 14

Infants Mouth-to-Mouth/Nose

When performing rescue breathing on an infant, the rescuer should cover the infant’s mouth and nose when possible and do the following:

  1. Open the airway using the head-tilt/chin-lift maneuver. Be sure not to hyper-extend the neck. Aim for a neutral position (Figure 14a).
  2. Create a seal using your lips to surround the infant’s nose and mouth (Figure 14b).
  3. Gently blow into the infant’s nose and mouth for one second (Figure 14c). Keep in mind that an infant’s lungs are smaller than an adult’s and need a smaller volume of air. Watch for the infant’s chest to rise. If you cannot see the chest rise, re-adjust the tilt of their head.
  4. Give an additional breath and watch for the infant’s chest to rise. If unable to cover both mouth and nose entirely with your mouth, use the following method for rescue breathing:
    • Open the airway using the head-tilt/chin-lift maneuver.
    • Pinch the infant’s nose closed.
    • Create a seal using your lips to surround the infant’s mouth.
    • Gently blow into the infant’s mouth for one second.
    • Give an additional breath and watch for the chest to rise.