One & Two Rescuer BLS for Children

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One-Rescuer BLS for Children

If you find yourself as the only individual in the presence of the patient, proceed with the following steps:

  1. Engage with the child by tapping their shoulder or talking to assess responsiveness.
  2. Check the breathing pattern.
  3. If the child is unresponsive, call for help. If someone comes over to help, do not leave the child; ask the second person to call 911 or to get an AED.
  4. For no more than 10 seconds, attempt to assess the child’s carotid pulse (found on the side of the neck) or femoral pulse (found on the inner thigh in between the leg and the groin).
  5. If you do not feel a pulse, start CPR with 30 compressions followed by two breaths. If you feel a weak pulse, which is generally less than 60 beats per minute (too slow even for a child), start with CPR.
  6. After executing about five cycles of 30 compressions and two breaths within two minutes, and in the event that help has yet to arrive, phone EMS to report the incident while staying close to the child. Retrieve an AED if possible.

If you are with a second person with a child at the scene, do the following:

  1. Engage with the child by tapping their shoulder or talking to assess responsiveness
  2. Check the breathing pattern.
  3. Have the second person call 911 if the child is unresponsive or is having trouble breathing. Have the second person try to secure an AED as well. (The AHA points out that phones are universally available with speakerphone features, allowing you to call 911 without having to leave the emergency site.)
  4. For no more than 10 seconds, attempt to assess the child’s carotid pulse (found on the side of the neck) or femoral pulse (found on the inner thigh in between the leg and the groin).
  5. If you do not feel a pulse, start CPR with 30 compressions followed by two breaths.
  6. If you feel a weak pulse, which is generally less than 60 beats per minute (too slow even for a child), start with CPR.
  7. Proceed with CPR with 15 compressions with one rescuer and two breaths with the second rescuer as soon as you have another person available.
  8. Follow the AED instructions while executing CPR until EMS arrives or until the child’s condition improves.
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