Step 1: Assess the Situation.
Before starting CPR, make sure the child is unresponsive and not breathing or breathing abnormally. Call for help immediately (i.e., call your local emergency number and seek access to an Automated External Defibrillator, A.E.D., if available).
Step 2: Chest Compressions.
1. Place the child on their back on a firm surface.
2. For infants (under 1 year old), use two fingers placed in the center of the chest just below the nipple line.
3. For children over 1 year old, use the heel of one hand in the center of the chest.
4. Press down hard and fast (at least 2 inches deep for children, about 1.5 inches for infants) at a rate of about 100-120 compressions per minute.
Step 3: Rescue Breaths.
1. After every 30 compressions, give 2 rescue breaths.
2. For infants, cover the nose and mouth with your mouth and give gentle puffs of air.
3. For children, cover the mouth with your mouth (pinching the nose) and give two breaths, ensuring the chest rises with each breath.
4. Continue the cycles of 30 chest compressions and 2 rescue breaths until help arrives, or the child begins to breathe or show signs of life.
Step 4: Use of AED.
If an A.E.D. is available, turn it on and follow the device’s instructions. The A.E.D. will analyze the child’s heart rhythm and may advise a shock. If it advises a shock, deliver it after ensuring no one is touching the child, and then continue CPR.