b'ChapterSpecial Cases of ResuscitationMouth to Nose Rescue BreathingMay be considered when a patient is rescued from deep water, has sustained trauma injuries tothe jaw and mouth or mouth cannot be opened.When resuscitating infants and small children. I t may be difficult to apply an effective seal when giving breaths. If this problem persists, use mouth to mouth resuscitation. Close the patients mouth with your hand supporting the jaw. Push the lips together with yourthumb.With the patients mouth closed, form an air tight seal with your lips over the nose and blowsteadily through their nose. Be careful not to compress the soft part of the nose. Allow the patient to exhale by lifting your mouth from their nose and letting their mouth fall open after each breath. Look for the rise and fall of the chest after each breath.You may need to blow harder to inflate the lungs.Mouth to Neck Stoma Rescue BreathingA patient may have a surgical procedure where the voice box has been removed (laryngectomy). This could be due to the treatment of cancer, burns, injury or infection. The patient breathes through a stoma (an opening in the front of the neck) rather than through the mouth and nose. This person is commonly referred to as a neck breather and requires special care in the event of an emergency.Close off the patients mouth and nose with your thumb and fingers.Steadily breathe into the stoma until the chest rises.Allow the patient to exhale by lifting your mouth from the stoma aftereach breath and listen for air escape.Look for the rise and fall of the chest after each breath. You may need to blow harder to inflate the lungs.48 Resuscitation'