PDF download Download Article PDF download Download Article

Though CPR (cardiopulmonary resuscitation) should be administered by individuals trained at a certified first aid course, ordinary bystanders can also make a significant difference in the survival of children undergoing cardiac arrest. Follow these steps, updated to reflect 2010 American Health Association guidelines, to learn how to perform CPR on children. For children older than age 1, follow child CPR protocol and for adults, follow adult protocol.

Method 1
Method 1 of 2:

Assessing the Situation

PDF download Download Article
  1. It's best to flick your fingers against the feet. If the baby doesn't respond, ask someone to call for emergency help while you go on to the next step. If you are alone with the baby, follow the steps below for 2 minutes (to provide immediate first aid) before calling emergency services.[1]
  2. Whether the baby is breathing should determine your course of action:
    Advertisement
  3. Check the baby's pulse. Check for breathing again, and this time place your index and middle fingers on the inside of the baby's arm, between the elbow and the shoulder.
  4. Advertisement
Method 2
Method 2 of 2:

Performing CPR

PDF download Download Article
  1. Gently lift the baby's head back and chin up to open the child's airway. The airway is small, so this won't be a drastic movement. Again, check for breathing during this time, but for no longer than 10 seconds.
  2. If you have one, put a face shield on the baby to prevent the exchange of bodily fluids. Pinch the nose shut, tilt the head back, push up the chin, and give two breaths, each lasting about one second. Exhale gently until the chest rises; exhaling too forcefully can cause injury.[3]
    • Remember to pause in between breaths to let the air out.
    • If you feel that the breaths did not go in (the chest doesn't rise at all) the airway is obstructed, and the child may be choking. See this article for more information on helping an infant that is choking.
  3. If there is no pulse, begin CPR on the baby.
  4. Take two or three fingers held together and place them in the middle of the baby's chest right below the nipples. Gently, fluidly compress the baby's chest 30 times.
    • If you need to brace your fingers because they are getting tired, use your second hand to help assist the process. Otherwise, keep your second hand cradling the baby's head.
    • Try to perform your chest compressions at a rate of about 100 compressions per minute.[4] That may seem like a lot, but it's actually only a little over one chest compression a second. Still, try to maintain a fluid push and release when performing compressions.
    • Press down 1/3 to 1/2 the depth of the baby's chest. This usually works out to about 1 and 1/2 inches.[5]
  5. At the right speed, you should do about five sets of rescue breaths and compressions within approximately two minutes. Once you start CPR, don't stop unless:
  6. " Keep this useful mnemonic handy to remember the process of delivering CPR.
    • A is for airway. Open or check that the airway is open.
    • B is for breathing. Pinch the nose, tilt the head back, and give two rescue breaths.
    • C is for circulation. Check if the baby has a pulse. If not, perform 30 chest compressions.
  7. Advertisement

Expert Q&A

Ask a Question
200 characters left
Include your email address to get a message when this question is answered.
Submit
Advertisement

Video

Tips

  • Please note that this video is based on previous American Heart Association (AHA) standards. New AHA guidelines (2010) recommend a pattern of "CAB" rather than "ABC." New guidelines recommend a check for consciousness (still flick feet) and no pulse check before initiating chest compressions. Commence chest compressions x30 followed by two breaths x5 cycles. (untrained responders may use "hands-only CPR, and bypass breathing). If the infant does not rouse in this first 2 minute of CPR, Emergency Medical Services should be called for assistance.
Submit a Tip
All tip submissions are carefully reviewed before being published
Name
Please provide your name and last initial
Thanks for submitting a tip for review!
Advertisement

Warnings

Advertisement

Expert Interview

Thanks for reading our article! If you’d like to learn more about performing cpr, check out our in-depth interview with Joel Warsh, MD.

About This Article

Joel Warsh, MD
Co-authored by:
Board Certified Pediatrician
This article was co-authored by Joel Warsh, MD. Dr. Joel Warsh is a board certified Pediatrician and the Owner & Founder of Integrative Pediatrics and Medicine in Los Angeles, California. With over a decade of experience, Dr. Warsh specializes in holistic and integrative medicine. He holds a Bachelor’s degree in Kinesiology and Health Sciences, a Master’s degree in Epidemiology and Community Health, and a Doctor of Medicine (MD) from Thomas Jefferson Medical College, where he was elected president of the Jefferson Pediatric Society. Dr. Warsh then completed his Pediatric Residency at Children’s Hospital of Los Angeles (CHLA), where he received the George Donnell Society Research Fellow. This article has been viewed 275,795 times.
1 votes - 100%
Co-authors: 36
Updated: August 5, 2024
Views: 275,795
Thanks to all authors for creating a page that has been read 275,795 times.

Reader Success Stories

  • Thuy Le

    Thuy Le

    Jan 12, 2017

    "It is easy to understand."
Share your story

Did this article help you?

Advertisement