23/12/2020
CPR >1
Ensure that the scene is safe. Check for unresponsiveness. Gently tap child’s shoulder. Ask, “Are you okay?”
Simultaneously assess the child's breathing and pulse.
Check for breathing. Is the breathing normal, no breathing, or abnormal (only agonal gasps)?
Assess the carotid pulse and look for other signs of circulation (no more than 10 sec). If signs of circulation are present but the child is still not breathing, give rescue breaths at the rate of 12-20 breaths/min (1 breath every 3-5 sec).
If there is no response with no breathing or abnormal breathing (only agonal gasps), send a second rescuer, if available, for help and to get an AED, if available.
If you are alone, begin the steps for CPR.
Position the child supine on a hard, flat surface.
If a pulse and signs of circulation are not present, begin chest compressions.
One hand: Place the heel of one hand on the center of the chest over the lower half of the sternum.
Two hands: Place the heel of one hand on the center of the chest over the lower half of the sternum; place the heel of your other hand over the first.
Firmly compress the chest at least one third the depth of the chest (at least 2.0 in [5 cm]). Push hard and fast. Give 30 compressions. Compress at a rate of 100-120/min. Ensure complete chest recoil after each compression. Avoid leaning on the chest between compressions.
If the child is not breathing, begin rescue breaths. Open the airway by the head tilt-chin lift method or, if spinal injury is suspected, use the jaw thrust method, if possible.
Using a face mask or barrier device, give 2 breaths (1 sec each) with sufficient volume to cause the chest to rise. Do not overventilate. Note: If the chest does not rise, reposition the head, chin, and jaw, and give 2 more breaths. If the chest still does not rise, follow instructions for unconscious child with an obstructed airway.
Continue cycles of 30 compressions followed by 2 breaths. After the fifth cycle of 30:2 (2 min), if you are still alone and no signs of circulation are present, summon help, call a code, or phone 911 and get an AED, if available.
If circulation is still not present, continue CPR, starting with chest compressions until an AED is available. If an AED is unavailable, continue to give 30 compressions followed by 2 breaths.
If circulation resumes but breathing does not resume or is inadequate, continue rescue breathing at 12-20 breaths/min.
If adequate breathing and circulation resume, place the child in the recovery position and monitor until help arrives.
heart.jpgClinical Tip: If you are alone and know a child or infant has had a sudden collapse because of heart failure, request immediate help including an AED. Do not delay defibrillation.
heart.jpgClinical Tip: When two rescuers are available, give cycles of 15 compressions and 2 breaths for child CPR.