Compression-to-ventilation ratio
- If single rescuer, perform 30 compressions and 2 breaths CPR (30:2)
- If 2 and more rescuers, perform 15 compressions and 2 breaths CPR (15:2)
Compression rate
- Maintain rate of 100 to 120 compression/min
Compression depth
- For infant: compress at least approximately 4 cm
- For children: compress at least approximately 5cm
Chest recoil
- Allow complete chest recoil for adequate blood flow into heart
- Avoid learning on chest between compressions
Interruptions in chest compressions
- Minimize interruptions to maintain good blood circulation
Chest compression technique
Children- Use 1 or 2 hands
- Technique same as adult: heel of one hand on top of the other
- If child is small, 1 hand can compress the required depth
- 2-finger technique
- Place infant face up on flat, firm surface.
- Place 2 fingers at the center of chest, below nipple line.
- Provide compressions at rate of 100 to 120/min.
- Compress with a depth of approximately 4 cm at least.
- Ensure complete chest recoil while minimizing interruptions of compressions.
- Complete 30 compressions and give 2 breaths, each over 1 second.
- Continue cycles and use AED once available.
- Continue providing BLS until emergency services arrive or infant responds.
- 2 thumb-encircling hands technique – preferred when 2 or more rescuers
- Place infant face up on flat, firm surface.
- Put both thumbs side by side on center of infant’s chest, below nipple line. Encircle infant’s chest with remaining fingers.
- Depress breastbone using thumb while encircling chest
- Maintain compression rate of 100 to 120/min
- Compress with a depth of approximately 4 cm at least.
- Ensure complete chest recoil while minimizing interruptions of compressions.
- Provide 15 compressions then deliver 2 breaths, each over 1 second
- Continue 15:2 CPR cycles and use AED as soon as available
- Continue 15:2 CPR cycles until emergency services arrive or infant responds
