1 rescuer infant BLS sequence
Check the infant for
response and breathing.
Shout for help if no
response, no breathing or
If someone responds ask to
response and get AED
Check the infant's brachial
pulse. (take 5 but not more
If there is no pulse or if
oxygenation and ventilation
HR <60/min with poor signs
Perform cycles of
compression and breaths
(30:2), starting with
After 5 cycles, if not done,
activate the emergency
response system and get the
2 rescuer infant CPR
Place both thumbs side by side in the
center of infant’s chest on the lower half
of the breast bone. Thumbs may overlap
in very small infants.
Encircle the infants chest and
support the infants chest with fingers
of both hands.
With your hands encircling the chest, use
both hands to depress the breastbone at
least one third of the depth of chest i.e.
approx. 11/2 inches(4cm).
Deliver compressions in a smooth
fashion at a rate of about 100/min.
Allow complete chest recoil after each
compression by completely releasing the
pressure on the breast bone.
After every 15 compressions, pause
briefly for the 2nd rescuer to open the
airway with a head tilt chin lift and
give 2 breaths. The chest should rise
with each breath.
Continue compression and breaths in
a ratio of 15:2 switching roles every 2
min. to avoid rescuer fatigue.
CPR—CHILD AND INFANT
• GIVE 30 CHEST COMPRESSIONS
Push hard, push fast in the middle of the
Child: Push about 2 inches deep.
Infant: Push about 1½ inches deep.
Push fast, at least 100 compressions
Child or infant must
be on firm, flat surface.
GIVE 2 RESCUE BREATHS
Tilt the head back and lift the
Child: Pinch the nose shut,
then make a complete seal
over child’s mouth.
Infant: Make complete
seal over infant’s mouth and
Blow in for about 1 second to
make the chest clearly rise.
Give rescue breaths, one after
DO NOT STOP
Continue cycles of CPR. Do not stop
CPR except in one of these
You find an obvious sign of life ,
such as breathing.
An AED is ready to use.
Another trained responder or
EMS personnel take over.
You are too exhausted to
The scene becomes unsafe.
If at any time you
notice an obvious sign
of life, stop
CPR and monitor
breathing and for any
changes in condition.
(AED) Automated External
IF BREATHS DO NOT MAKE CHEST
RISE—Give CARE for unconscious
Attach pads to the victim then
Make sure no one touching the
Push the “shock” button
PERFORM CPR After delivering the
shock, or if no shock is advised:
Perform about 2 minutes (or 5
cycles) of CPR.
Continue to follow the prompts of
Drugs used in CPR
• Atropine – can be injected bolus, max 3 mg to
block vagal tone, which plays significant role in
some cases of cardiac arrest
• Adrenaline – large doses have been withdrawn
from the algorithm. The recommended dose is
1 mg in each 3-5 min.
• Vasopresine – in some cases 40 U can replace
• Amiodarone - should be included in algorithm
• Lidocaine – should be used only in ventricular
Relief of Choking in the Infant.
• Signs of Severe Airway Obstruction
• poor / no air exchange.
• weak ineffective cough / no cough at all.
• turning blue around mouth.
• 5 back thrusts, 5 chest thrusts, continue until
object is expelled or infant becomes unresponsive.
• If object is expelled take infant to a Healthcare
provider for further evaluation.
• If object is not expelled and infant becomes
unresponsive, Open the airway, remove the object
if you see it, and begin CPR. After 5 cycles (2
mins) ACTIVATE the EMS. Check the Airway every
time before giving breaths during CPR.