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This depends on what level of training you have received. The American Heart Association guidelines no longer recommend a pulse check for non-medical professionals.

Infants should receive chest compressions in a ratio of 30 compressions: 2 breaths if they are unresponsive to verbal and tactile stimulation (tickle their foot) and are not breathing. Direct someone to call 911 immediately.

Additionally, if an infant chokes the guidelines recommend five back slaps followed by five chest compressions. Seek training in this if you have a child or will spend time around children - simply reading about it on the internet does not give you the practice needed to learn this simple and life-saving skill.

For medical professionals, the answer is simple: Do chest compressions on an infant when there is no pulse at the femoral or brachial artery. This assumes competency in a variety of skills including but not limited to pulse checks and oxygen delivery.

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