The document provides guidelines for pediatric advanced life support (PALS) compression techniques and differences compared to adult CPR. It notes that for children, compressions should be performed on the lower third of the sternum with one or two hands, to a depth of about one third the depth of the chest. For infants, two fingers should be used in the center of the chest to a depth of 1.5 inches. When giving rescue breaths to children, the head should not be tilted back too far to avoid blocking the airway. The document also highlights differences in pulse checking locations and compression to breath ratios for adult, child, and infant CPR.

1. BLS 2010
In special situation

2. Pediatric Advanced Life
Support
2

3. Compression TechniquesCompression Techniques
Position:
for all ages: compress the lower third of the sternum
number of hands:children: use one or two hands: depressing the sternum
by approximately one third of the depth of the chest

4. Compression hand position
Adult CPR: Two hands in the center of the chest
Child CPR: One or two hands in the center of the chest
Infant CPR: Two fingers in the center of the chest
Depth of compressions
Adult CPR: Two inches
Child CPR:Two inches
Infant CPR One and a half inches

5. • Head position when attempting rescue breaths
• Child CPR: When attempting rescue breaths, be very
careful not to tilt a child’s head back too far. Children
have fragile airways and in the case of infants you
can actually block the airway if you do this.

6. Children’s bones ----- flexible
Tongues take up more space in their mouths;
Narrower airways -can be impacted by inflammation.
Infant CPR: For infants, tilt the head into the ‘sniffer’s
position,’ which is just far enough back for the baby to look
like he or she is sniffing the air.

7. Circulation/pulse
Where to check for a pulse also differs among adults,
children and infants.
Adult CPR: Check the carotid artery (located in the neck)
Child CPR: Check the carotid artery(located in the neck)
Infant CPR: Look for the brachial artery (located on the inside
of the upper arm)

9. Highlights
Same as adult CPR with some differences
• One rescuer : 30 comp. -2 Breaths
• Two rescuer : 15 comp.- 2 Breaths
• If pulse present but < 60 / min. needs
Chest compressions and recheck pulse
every 2 min.

10. 01/22/13 07:28 AM Esmaeil Azizi Fini 10

11. Pregnancy

12. Maternal cardiac arrest algorithm.
Vanden Hoek T L et al. Circulation 2010;122:S829-
S861
Copyright © American Heart Association

13. .
Vanden Hoek T L et al. Circulation 2010;122:S829-
S861
Copyright © American Heart Association

14. Left uterine displacement using 1-handed technique.
Vanden Hoek T L et al. Circulation 2010;122:S829-
S861
Copyright © American Heart Association

15. Patient in a 30° left-lateral tilt using a firm wedge to support pelvis and thorax.
Vanden Hoek T L et al. Circulation 2010;122:S829-
S861
Copyright © American Heart Association

16. Drowning
NO .....CAB-----ABC
Attempts to remove water from the breathing passages by any
means other than suction (eg, abdominal thrusts or the
Heimlich maneuver) are unnecessary and potentially
dangerous.

17. THANK YOU