In the case of drowning, what is the initial step before starting CPR in a child?

In the event of drowning, the initial step before starting CPR in a child is to deliver 2 initial ventilations. This is critical because drowning often results in the airway being obstructed by water, leading to hypoxia (lack of oxygen) that can rapidly affect the child's vital organs. By providing 2 rescue breaths first, you can assist in re-establishing oxygenation before beginning chest compressions.

The rationale behind delivering ventilations first is based on the fact that drowning incidents typically compromise the child's ability to breathe, so restoring air circulation is essential. This step helps to ensure that any remaining oxygen in the lungs can be utilized effectively, helping to prevent further brain damage due to lack of oxygen.

While calling for emergency services is vital, this is typically done after ensuring that immediate lifesaving measures, such as ventilations, are administered. Checking for signs of circulation is important but is ideally done after ensuring adequate oxygenation; it is part of the overall assessment rather than the immediate response to a drowning situation. Starting compressions immediately is not recommended without first addressing the compromised airway through rescue breaths.