Skill Guide #4
Child 1 and 2 or more rescuers CPR/AED
Steps and procedures should occur simultaneously with 2 or more
rescuers.
Emergency Action Steps
Assess Scene. If the scene is not safe or at any time becomes
unsafe, get out!
Assess victim. Not moving? No response?
Alert. Shout for help. No help? Alert
EMS or activate your emergency action plan. Get the AED and
oxygen.
Attend to the ABCD’s
A=Airway Open Airway
Tilt head, lift chin
Injury—Jaw thrust.
B=Breathing Check breathing
Look, listen, and feel for 5 but no more than 10 s seconds.
If no breathing, give 2 breaths that make the chest visibly
rise.
C=Circulation Check pulse
Check pulse for 5 but no more than
10 seconds.
Definite pulse? Give 1 breath every 3-5 seconds.
No pulse, pulse < 60 BPM with poor color or Uncertain?
Immediately start chest compressions.
1 Rescuer (30:2)
30 chest compressions.
Middle of chest between the nipples
Push hard and fast (100xper minute). Allow the chest to recoil
completely. Minimize interruptions.
Continue 30 compressions, 2 breaths x 5 cycles. Alert EMS;
get an AED/oxygen if alone.
2 or more
Rescuers 15:2
Rescuer 1: 15 chest compressions
Rescuer 2: 2 rescue breaths. Make chest visibly rise.
Quickly change positions at least every 2 minutes.
Advanced airway in place: 1 Breath every 6-8 seconds. Compressions
100x per minute. No pause.
D Defibrillation
Expose the chest, turn on the AED. Select and attach the child
pads/system. Follow the voice prompts.
Shock advised: Clear and give 1 shock.
Immediately resume chest compressions.
No shock advised:
Immediately resume chest compressions.
Continue 30 compressions, 2 breaths x 5 cycles.
Check the rhythm.
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