What is the immediate step for an infant less than 1 year old, with a heart rate of 60 bpm and no pulses?

When an infant under the age of 1 year has a heart rate of 60 beats per minute and shows no signs of pulse, it indicates a critical situation known as cardiac arrest. The immediate response in this scenario is to begin chest compressions. For infants, CPR protocols dictate that if the heart rate is below 60 beats per minute and there is no palpable pulse, high-quality chest compressions should be initiated right away.

Starting chest compressions helps to circulate oxygenated blood to vital organs, significantly increasing the chances of survival until advanced care is available. It's crucial to act quickly in such emergencies because prolonged absence of circulation can lead to irreversible brain damage and other serious complications. While checking airway patency, administering oxygen, and calling for help are all important steps in a full resuscitation protocol, prioritizing chest compressions is essential in this context to address the immediate and life-threatening lack of cardiac function.