NHS

How to resuscitate a child

Back blows, chest thrusts & Cardiopulmonary resuscitation (CPR)

CPR Babies under one year old

  1. Open the baby's airway by placing one hand on the forehead while gently tilting the head back and lifting the chin. Remove any visible obstructions from the mouth or nose.
  2. Place your mouth over the mouth and nose of the infant and blow steadily and firmly into their mouth, checking that their chest rises. Give five initial rescue breaths.
  3. Place two fingers in the middle of the chest and press down by one-third of the depth of the chest. After 30 chest compressions at a steady rate (slightly faster than one compression a second), give two rescue breaths.
  4. Continue with cycles of 30 chest compressions and two rescue breaths until they begin to recover or emergency help arrives.

CPR Children over one year old

  1. Open their airway by placing one hand on the forehead and gently tilting their head back and lifting the chin. Remove any visible obstructions from the mouth or nose.
  2. Pinch their nose. Seal your mouth over their mouth and blow steadily and firmly into their mouth, checking that their chest rises. Give five initial rescue breaths.
  3. Place your hands on the centre of their chest and, with the heel of your hand, press down by one-third of the depth of the chest using one or two hands.
  4. After every 30 chest compressions at a steady rate (slightly faster than one compression a second), give two breaths.
  5. Continue with cycles of 30 chest compressions and two rescue breaths until they begin to recover or emergency help arrives.

Back blows for children under one year

If back blows don’t relieve the choking and your child is still conscious, and under one year give chest thrusts.

Chest thrusts for children under one year

Back blows for children over one year

If back blows don’t relieve the choking and your child is still conscious, and over one year give abdominal thrusts.

Abdominal thrusts for children over one year

Following chest or abdominal thrusts, reassess your child:

Source: NHS Choices, First aid, CPR/ DoH birth to five 2009.

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