CPR Guidelines

CPR Guidelines - Children (Aged 1 Year - Puberty)

AHA CPR Guidelines 2010

NOTE: Sequence has changed from airway, breathing, chest compressions (ABC) to chest compressions, airway, breathing (CAB) per the 2010 AHA Guidelines
Untrained lay rescuers should do compression-only CPR;
whereas, trained lay rescuers and healthcare providers (HCP) should include compressions and breathing
1- Compressions:
• check pulse at carotid
• compression landmarks: lower half of sternum, between nipples
• do not press on the xiphoid or the ribs
• compression method: heel of 1 hand or 2 hands (other hand on top)
• compression depth: about 2 inches (5 cm) in most children
• allow complete chest recoil after each compression
• compression rate: at least 100/min
• compression-ventilation ratio: 30:2 (single rescuer);15:2 (2 HCP rescuers)
• minimize interruptions in compressions; limit interruptions to <10 seconds
• no data to determine if the 1 or 2 hand compression method produces better compressions and better outcome in children; • AHA guidelines state "Because
children and rescuers come in all sizes, rescuers may use either 1 or 2 hands to compress the child's chest"
2- Airway
• head tilt-chin (HCP suspected trauma: use jaw thrust)
3- Breathing
• ventilation with advanced airway: 1 breath every 6-8 seconds (8-10 breaths/min)
• asynchronous with chest compressions
• about 1 second per breath
• visible chest rise
• avoid excessive ventilation
4- Defibrillation
• attach and use AED as soon as available
• minimize interruptions in chest compressions before and after shock
• resume CPR beginning with compressions immediately after each shock