Adult Sequence with Paediatric Modifications

the paediatric modifications to adult CPR should be taught to those who care for children but are unlikely to have to resuscitate them

• give 5 rescue breaths before starting chest compressions*
• if you are on your own, perform CPR for 1 min before going for help
• compress the chest by at least one-third of its depth, approximately 4 cm for an infant and approximately 5 cm for an older child. Use both thumbs or two fingers for an infant under 1 year; use one or two hands for a child over 1 year as required to achieve an adequate depth of compression
• the compression rate should be 100-120 min-1.

https://www.resus.org.uk/sites/default/files/2021-04/Paediatric Out of Hospital Basic Life Support Algorithm 2021.pdf

https://www.resus.org.uk/library/2021-resuscitation-guidelines/paediatric-basic-life-support-guidelines

AED Use for Infants and Children

in infants and children and infants with cardiac arrest, a lone rescuer should immediately start CPR. In cases where the likelihood of a primary shockable rhythm is extremely high, such as in sudden witnessed collapse, if easily accessible, the rescuer should apply an AED (at the time of calling the EMS). When there is more than one rescuer, a second rescuer will immediately call the EMS on 999 or 112 and then collect and apply an AED

trained providers should limit the no-flow time when using an AED by performing CPR up to the point of analysis and immediately after the shock delivery or no shock decision; pads should be applied with minimal or no interruption in CPR

if possible, use an AED with a paediatric attenuator in infants and children below 8 years (energy reduced to 50-75 J). If this is not available, use the standard AED (for all ages)

there have been continuing reports of safe and successful use of AEDs in infants and children less than 8 years, demonstrating that AEDs can identify arrhythmias accurately in infants and children and are extremely unlikely to advise a shock inappropriately.