Cardiopulmonary Resuscitation for Children: Steps and Tips
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Last Updated On: octubre 29, 2024

CPR for Children: Tips and Techniques

When a child suddenly collapses, becomes unresponsive, and does not breathe, a quick intervention by a lay responder can save his life.  They can provide basic life support, including CPR, to sustain a life until medical help arrives. 

More than 7,000 children experience out-of-hospital cardiac arrests annually in the U.S. alone. Therefore, performing CPR within the first few significantly improves the chances of survival. 

In this blog, we will suggest key tips and techniques for administering CPR for children, which will help you develop essential skills to respond effectively in critical moments.

Understanding CPR for Different Age Groups

CPR can vary based on the age of the child. Therefore, lay responders should know how to adjust their technique for infants, toddlers, and older children. Following are the main CPR techniques for children based on their age group:

  • Infants (under 1 year old): Babies have smaller bodies and more delicate hearts. CPR for infants focuses on gentle compressions and breaths. Thus, responders should always use two fingers for compressions.
  • Toddlers (1 to 4 years old): Toddlers are more robust than infants, but they still need special care. Use one hand for compressions, and make sure to adjust the depth and force based on their size.
  • Children (5 years and older): Older children can receive CPR similar to adults, but rescuers should still be cautious. Use both hands for compressions, and ensure you are pressing hard and fast.

Differences Between Adult and Child CPR

Each age group requires specific CPR techniques to address their unique anatomical and physiological differences. Understanding these variations ensures effective intervention in critical situations. Below mentioned are some of the differences between child and adult CPR:

Aspect Adult CPR Child CPR
Compression Depth About 2 inches deep About 1.5 inches deep
Compression Rate 100 to 120 compressions per minute 100 to 120 compressions per minute
Rescue Breaths Ratio 30 compressions to 2 breaths 30 compressions to 2 breaths (if alone); 15:2 (if with help)
Technique for Compressions Use both hands Use your hands, but keep in mind the size of the child
Technique for Rescue Breaths Breaths should be delivered with enough force to visibly raise the chest. Breaths should be gentler to avoid overinflating the lungs; just enough air should be given to see a rise in the chest
Position Lay the adult on their back Lay the child on their back

Step-by-Step Guide for Performing CPR on Children

CPR is a method that involves rescue breaths and chest compressions. It helps keep blood and oxygen flowing to the brain and other vital organs when the heart stops. For children, CPR techniques are slightly different from those used on adults, so it’s important to understand the right approach.

You should perform CPR if a child is unresponsive, not breathing, only gasping, or has no pulse or a weak pulse (although checking for a pulse can be difficult without training). Let us look at some essential tips to perform CPR on children (1-12 years old):

  • Check the Scene and the Child’s Response

Before you start CPR, ensure that the environment is safe. Look for any immediate dangers, such as fire or electrical hazards. Once the area is safe, check if the child is responsive. If the child does not respond, call for help immediately.

  • Call for Emergency Help

If the child is unresponsive, call your local emergency number right away or ask someone else to call. If you are alone and do not have a phone, start pediatric CPR immediately and call emergency services after two minutes of CPR.

  • Open the Child’s Airway

To check if the child is breathing, lay the child flat on their back. Next, raise the chin and incline the head back a little. This helps open the airway. Check for normal breathing by looking, listening, and feeling for no more than 10 seconds. If the child is not breathing normally, you need to start CPR.

  • Start Chest Compressions

Chest compressions are the critical component of CPR. They help move blood to the brain and other vital organs. To give chest compressions, place the heel of one hand on the center of the child’s chest, between the nipples. 

If the child is older or larger, you can use both hands. Press down hard and fast, and then push the chest down about 2 inches deep. Allow the chest to rise back to its normal position after each compression. Apply 30 compressions at a speed of between 100 and 120 per minute.

  • Give Rescue Breaths

Try to give 2 rescue breaths after 30 compressions. You can do this by following these steps: 

  • Pinch the child’s nose shut.
  • Seal your mouth over the child’s mouth.
  • Blow air into the child’s lungs, watching to see if the chest rises.
  • If the chest doesn’t rise, recheck the child’s airway and make sure their head is tilted back properly.
  • After giving 2 breaths, return to chest compressions. Continue with 30 chest compressions, then give 2 rescue breaths.

Ensure to continue CPR until the child starts breathing normally or emergency medical help arrives and takes over.

Tips for Staying Calm in Pediatric Emergencies

Maintaining composure during pediatric emergencies is vital for delivering effective care. Specific strategies can help caregivers manage stress and focus on the task at hand. Here are some pointers to keep your composure:

  • Take Deep Breaths: When you feel panic, take deep breaths. This will help you concentrate and think clearly.
  • Stay Focused on the Task: Concentrate on performing CPR. Focus on the steps and follow them carefully.
  • Use Your Voice: If others are nearby, calmly ask for help. This can make a big difference in managing the situation.
  • Visualize Success: Imagine the child recovering. This positive thinking can help you stay calm and motivated.
  • Practice Regularly: Regular CPR training can boost your confidence. Knowing what to do will make you feel more at ease during an emergency.

Common Mistakes to Avoid in Child CPR

Awareness of frequent errors in child CPR can increase its effectiveness during emergencies. Avoiding these mistakes facilitates appropriate care when it matters most. Following are the points you must keep in mind when performing CPR on a child:

  • Not Calling for Help: Always call for emergency help before starting CPR. This ensures professional assistance will arrive.
  • Inadequate Compressions: Ensure your compressions are hard and fast enough. Inadequate pressure can reduce blood flow.
  • Giving Rescue Breaths Too Forcefully: Be gentle when giving rescue breaths. Forcing air can damage the child’s lungs.
  • Skipping Compressions: Do not skip compressions. They are crucial for maintaining blood circulation.
  • Not Following the Correct Ratio: Remember the correct compression-to-breath ratio for the child’s age. Following the proper ratio is essential for effective CPR.
  • Giving Up Too Soon: Continue CPR until help arrives or the child starts breathing. Persistence can save a life.

When to Seek Advanced Medical Help

Once you are aware of child emergency tips, you can call for advanced medical assistance in time. Quick decisions can significantly impact the child’s chances of recovery and overall outcome. Here are some situations when you should call for emergency services:

  • If the child does not respond after CPR, seek help immediately.
  • If the child does not start breathing normally after CPR, call for help.
  • If the child’s condition gets worse, do not hesitate to seek medical attention.
  • If you are unsure about how to perform CPR, seek help right away.
  • Before contacting for assistance if you are alone, try CPR for around two minutes.

Essential Knowledge for Parents and Caregivers!

CPR is an essential skill for parents, caregivers, and anyone responsible for children’s safety. Thus, Knowing the child’s CPR differences is not enough; you should also know how to perform it. Quick, decisive action during an emergency can be life-saving. 

Therefore, everyone should enroll in a certified CPR course. These courses provide hands-on experience and a deeper understanding of the procedure so that you can handle emergencies confidently and perform CPR for children effectively. Moreover, when conducting CPR, make sure you do not make any pediatric CPR mistakes. Doing so can lead to unwanted issues.

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