Maneuver Adult Child Infant

Lay rescuer: > 8 years Lay rescuer: > 1-8 < 1 year
HCP: Adolescent & older years
HCP: 1 year to
Adolescent
Activate - Emergency Activate if victim found Activate after 5 cycle of CPR.
Response no. if unresponsive For sudden witnessed collapse, activate
available HCP: if asphyxial arrest likely , first
call after 5 cycle (2min) of CPR
AIRWAY Head tilt-chin lift (HCP: suspected trauma, use jaw-thrust)
BREATHS initial 2 breath at 1 second/breath 2 effective breaths at 1 second/breath
HCP: Rescue breathing 10-12 breaths/min (app. 1 12-20 breaths/min (app. 1 breath every 3-5
without chest breath every 5-6 seconds) seconds)
compression
HCP: Rescue breaths 8-10 Breaths / min (app. 1 breath every 6-8 seconds)
for CPR with advanced
airway
Foreign-body airway Abdominal thrusts Back slaps & chest
obstruction thrusts
CIRCULATION Carotid Brachial or femoral
HCP: Pulse check(<10 (HCP can use femoral in child)
sec)
Compression Centre of chest, between nipples Just below nipple line
landmarks
Compression method 2 Hands: heal of 1 hand, 2 Hands: heal of 1 rescuer: 2 fingers
Push hard & fast other hand on top 1 hand, HCP: 2 rescuer; 2
Allow complete recoil other hand on thumb encircling hands
top
or 1 Hand: Heal
of 1 hand only

Compression depth 1.5 to 2 inches Approximately 1/3 to ½ the depth of chest

Compression rate Approximately 100/min
Compression- 30:2 (1 or 2 rescuer) 30:2(single rescuer)
Ventilation ratio HCP: 15:2 (2 rescuer)
Defibrillation
Automated Electric Use adult pads. HCP: Use AED as No recommendation
Defibrillator Do not use child pads/ child soon as available for infants < 1 year of
system. for sudden age.
HCP: For out of Hospital collapse & in
response may provide 5 cycle Hospital.
of or 2 minutes of CPR before All: After about 2
shock if arrest not witnessed. minutes of CPR
(out-of-hospital)
Use child
pads/child
system for child 1
to 8 years, if not
available, use
aduld AED &
pads.
̽ HCP = Health Care Professional