Week 3 - Child CPR

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
• 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 swift, hard 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