Assess

Assess the Scene
  • Determine 
    • If it is safe to help
    • Number of victims
    • if you will need additional assistance from EMS
    • What personal protective devices are readily available to you
Assess the Victim
  • Check the victim for responsiveness
  • Determine the victim is a child. (Has not reached the onset of puberty and is not considered an infant, approximately 1 year to the onset of puberty.)
  • Tap on victim’s shoulder and shout “Are you okay?”
  • Look at the victim’s chest and face
  • Determine if the victim is breathing normally
    • Agonal breathing is NOT normal breathing and needs care
Activate EMS
  • Call 911 or direct a bystander to call 911 and return
  • Caller should give dispatcher victim’s location, details of emergency situation including how many victims are injured and what treatment is occurring 
  • Request AED machine, if available
Check Pulse
  • Check for pulse (about 10 seconds) in the carotid artery in the neck
  • If unable to locate a pulse, do not waste valuable time searching, immediately begin CPR

CPR Cycle

Perform cycles of 30 compressions (at a rate of 100-120 per minute) and then administer 2 rescue breaths
    Compression depth:
  • Child: At least 1/3 of the child's body (approximately 2 inches)
     Position: 
  • On the breastbone (sternum)

C-A-B Order

Immediately have a bystander call 911 and begin CPR.  If you are alone, complete five cycles (about 2 minutes) of CPR before calling for help. 

Use the C-A-B (Compressions-Airway-Breathing) Order
  • Begin 30 Compressions
  • Open Airway with head tilt–chin lift and check breathing, AT THE SAME TIME
  • Give 2 rescue Breaths 

Compressions

For an unconscious child immediately begin 30 chest compressions, at a rate of 100-120 compressions per minute.  Administer to the breastbone (sternum), using one had for children under the onset of puberty.  Compressions should be swifthard and consistent with a depth of at least 1/3 of the child's body (or 2").  Avoid leaning on the victim’s chest between compressions to allow for full chest recoil. 


Airway

Open the victim’s airway, using the head tilt-chin lift method and AT THE SAME TIME check for breathing (5-10 seconds).  Look into the victim’s mouth for an obstruction.  If you see an obstruction, remove it immediately. 
    If the victim is breathing:
  • Place the victim in the recovery position
    If the victim is not breathing:
  • Administer - Rescue breaths

Breathing

Administer 2 rescue breaths (1 second each). 
    If the first breath does not make the chest rise:
  • Re-tilt the head and try the breath again 
    After administering 2 rescue breaths
  • Resume compressions 

Continue CPR Cycle until: 

  • AED becomes available
  • Victim shows signs of life
  • A second rescuer takes over
  • EMS arrives and takes over
  • You are too tired to continue