| Skill | Adult | Child | Infant |
| SafetyScene | Ensure Scene Safety | Ensure Scene Safety | Ensure Scene Safety |
| Determine patient responsiveness | Tap shoulder. “Are you ok?” Look for abnormal breathing. | Tap shoulder. “Are you ok?” Look for abnormal breathing. | Tap soles of feet. Call name. Look for abnormal breathing. |
| Activate EMS. Call for help. | If event is witnessed, and alone, leave patient. Activate EMS and get AED. If someone else present, ask them to do it. If not witnessed, provide 2 minutes of CPR, then leave to activate EMS and get AED. | Same as adult | Same as adult |
| Check pulse | No more than 10 seconds. Carotid artery. | Same as adult. Can also use femoral artery. | Brachial artery in upper arm for no more than 10 seconds. . |
| Compressions. Hard and fast. | 30:2 at 100-120/min. Use both hands. Depth 2” minimum to 2.4” maximum. | 1 Rescuer – 30:22 Rescuer – 15:21 or 2 hands depending on child’s size.Depth: 2 inches | 1 Rescuer – 30:22 Rescuer – 15:22 fingers on sternum below nipple line or 2 thumbs (2 rescuer).Depth: 1.5 inches |
| Airway | Head tilt/chin lift. Check mouth for obstruction. Jaw thrust if suspect neck injury. | Same as adult. | Same as adult and child. Head in “Sniffing” position. Use roll under shoulders |
| Breathing | 2 breaths over 1 second each following 30 compressions. Watch chest rise. When advanced airway present, give 1 breath every 6 seconds. | 2 breaths over 1 second each following 30 compressions. Watch chest rise. When advanced airway present, give 1 breath every 3-5 seconds. | Same as for child. |
| Rescue breathing. Patient with pulse and not breathing or gasping. | 1 breath every 5 seconds, recheck airway if breaths aren’t going in. Recheck pulse every 2 minutes. | 1 breath every 3-5 seconds, rechecking circulation every 2 minutes. | Same as child. |
| AED | Give CPR until AED is available and charged. | For infants and children up to age 8, use child attenuator pads. If not available, use adult pads. Don’t let pads touch each other. May use anterior-posterior (AP) placement. | Manual defibrillator is preferred. If not available, use child attenuator pads. If not available, use adult pads. Don’t let pads touch each other. May use AP placement. |
