When and how should I perform mouth-to-stoma rescue breaths?

  1. Check the person’s neck to see if he or she breathes through a stoma, an opening in the skin, by the neck, that leads directly into the breathing passages.
  2. Expose the person's entire neck down to the breastbone. Remove anything covering the stoma that blocks the airway. Also wipe away any secretions or blockages.

To perform rescue breaths:

  • Make an airtight seal with your lips around the stoma or tracheostomy tube.*
  • Blow in for about 1 second to make the chest clearly rise.
  • Give rescue breaths into the stoma at the same rate you would breathe into the mouth when performing CPR.
  • Keep the airway in a neutral position, and look, listen and feel for breathing with your ear over the stoma.
  • Do not allow the chin or head to flex forward toward the chest or extend backward.

Your rescue breaths are successful if you see the chest rise and fall, and you hear and feel air escape from the stoma.

American Red Cross, rescue breathing, resuscitation mask, over airway

Continue Learning about First Aid Techniques

How do you perform CPR chest compressions on an infant?
American Red CrossAmerican Red Cross
Give 30 chest compressions using the pads of these fingers to compress the chest.  Compress the c...
More Answers
What three things keep the right amount of blood flowing in the body?
American Red CrossAmerican Red Cross
The heart must be working well An adequate amount of oxygen-rich blood must be circulating in the ...
More Answers
What is the proper technique for spine boarding?
National Athletic Trainers' AssociationNational Athletic Trainers' Association
Spine boarding is a technique that is used to transport an athlete for emergency care whenever a cer...
More Answers
How do I assess a conscious victim before giving first aid?
 Dr. Kathleen Handal, MD Dr. Kathleen Handal, MD
Hopefully you have taken a first aid course. Remember, Do No Further Harm - if you are unsure or you...
More Answers

Important: This content reflects information from various individuals and organizations and may offer alternative or opposing points of view. It should not be used for medical advice, diagnosis or treatment. As always, you should consult with your healthcare provider about your specific health needs.