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American Academy of CPR & First Aid, Inc.®

Welcome to Healthcare Provider CPR

Child CPR
Cardio Pulmonary Resuscitation:
  • Check for response
  • If no response i.e. unresponsive and lack of normal breathing i.e. no breathing or gasping
  • Activate EMS (Emergency Medical Services or Emergency Response Team) and get or call for an AED (automated external defibrillator), (only if 2 rescuers/persons present)
  • Check for the carotid pulse (continue to check pulse every two minutes). Check the pulse for a MAXIMUM of 10 seconds
  • If no pulse or pulse less than 60 per minute and signs of poor perfusion, then, start compression
  • Position the heel of 1 or 2 hands in the lower part of the center of the chest
  • Start compression (2 inches or at least 1/3 the depth of the chest) at least 100 per minute.
  • Position the heel of 1 or 2 hands in the lower part of the center of the chest
  • After 30 compressions, open airway - head tilt-chin lift (push the forehead back with one hand and lift the chin to move the jaw forward with the other hand)
  • Give 2 breaths, each for a 1-second duration, and look for chest rise. If the first breath doesn't make the chest rise and fall, then reposition the head i.e. head tilt-chin lift, and re administer the breaths. Give one breath, every 3-5 second intervals (12-20 breaths per minute).
  • Continue 30 compressions followed by 2 ventilations i.e. ratio of 30:2, until an advanced airway (i.e., endotracheal tube, Combitube, or laryngeal mask airway -LMA) is placed; then start continuous chest compressions with ventilations at a rate of 1 breath every 6 to 8 seconds (8 to 10 ventilations per minute).
  • Leave to activate emergency medical services and to get AED after 5 cycles or after 2 minutes (if only 1 rescuer/person present and the EMS has not been activated)
  • AED with pediatric pads (for children less than 8 years), should be used as soon as it is available. Resume chest compressions immediately after the shock is given.

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