When performing multiple provider CPR on an infant the compression ventilation ratio is

Although you hope you'll never use cardiopulmonary resuscitation (CPR) for a child or infant, it's important to know the steps so that you can help in the event of a cardiac or breathing emergency. And although you may have taken a class in child CPR, it's a good idea to keep the steps handy so that the information stays fresh in your memory. With our printable step-by-step guide, you can access the child and baby CPR steps anytime, anywhere. Simply print them up and place them in your car, your desk, your kitchen or with your other first aid supplies, then read over them from time to time to help maintain your skills.

Inhaltsverzeichnis Show

Before Giving Child or Baby CPR
Performing Child & Baby CPR
Infant CPR 2 Rescuer
How to Provide Care
Two-Responder CPR Technique for Infants
A Word About Considerations for Pediatric Patients
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When performing multiple provider CPR on an infant the compression ratio is?
What is the compression technique when providing multiple provider CPR for an infant?
What is the ratio of chest compressions and rescue breaths during pediatric CPR when there are multiple rescuers?
What is the correct rate of ventilation delivery for a child or infant quizlet?

Before Giving Child or Baby CPR

Check the scene for safety, form an initial impression, obtain consent from the parent or guardian, and use personal protective equipment (PPE)

If the child or baby appears unresponsive, check the child or baby for responsiveness (shout-tap-shout)

For a child, shout to get the child’s attention, using the child’s name if you know it. If the child does not respond, tap the child’s shoulder and shout again while checking for breathing, life-threatening bleeding or another obvious life-threatening condition
For a baby, shout to get the baby’s attention, using the baby’s name if you know it. If the baby does not respond, tap the bottom of the baby’s foot and shout again while checking for breathing, life-threatening bleeding or another obvious life-threatening condition
Check for no more than 10 seconds

If the child or baby does not respond and is not breathing or only gasping, CALL 9-1-1 and get equipment, or tell someone to do so

Performing Child & Baby CPR

Place the child or baby on their back on a firm, flat surface

For a child, kneel beside the child
For a baby, stand or kneel to the side of the baby, with your hips at a slight angle

Give 30 compressions

For a child, place the heel of one hand in the center of the child’s chest, with your other hand on top and your fingers interlaced and off the child’s chest
- Position your shoulders directly over your hands and lock your elbows
- Keep your arms straight
- Push down hard and fast about 2 inches at a rate of 100 to 120 per minute
- Allow the chest to return to normal position after each compression
For a small child, use a one-handed CPR technique
- Place the heel of one hand in the center of the child’s chest
- Push down hard and fast about 2 inches at a rate of 100 to 120 per minute
For a baby, place both thumbs (side-by-side) on the center of the baby’s chest, just below the nipple line
- Use the other fingers to encircle the baby’s chest toward the back, providing support
- Using both thumbs at the same time, push hard down and fast about 1 ½ inches at a rate of 100 to 120 per minute
- Allow the chest to return to its normal position after each compression
Alternatively, for a baby, use the two-finger technique
- Use two fingers placed parallel to the chest in the center of the chest
For a baby, if you can’t reach the depth of 1 ½ inches, consider using the one-hand technique

Give 2 breaths

For a child, open the airway to a slightly past-neutral position using the head-tilt/chin-lift technique
For a baby, open the airway to a neutral position using the head-tilt/chin-lift technique
Blow into the child or baby’s mouth for about 1 second
- Ensure each breath makes the chest rise
- Allow the air to exit before giving the next breath
If the first breath does not cause the chest to rise, retilt the head and ensure a proper seal before giving the second breath. If the second breath does not make the chest rise, an object may be blocking the airway

Continue giving sets of 30 chest compressions and 2 breaths until:

You notice an obvious sign of life
An AED is ready to use
Another trained responder is available to take over compressions
EMS personnel arrive and begin their care
You are alone and too tired to continue
The scene becomes unsafe
You have performed approximately 2 minutes of CPR (5 sets of 30:2), you are alone and caring for baby, and you need to call 9-1-1

Be prepared for moments that matter by taking a CPR class and you could help save a life.

Infant CPR 2 Rescuer

In this section, we're going to cover two-responder infant CPR for the healthcare professional using a bag valve mask. (If you don't have a bag valve mask, a simple mask with a one-way valve will suffice.)

Also, it's important to have the right size mask. But if you don't have an infant size mask, proceed using an adult size.

Much of what was covered in the last section – Child CPR with Two Responders – will apply in this section – Infant CPR with Two Responders. The one difference being the method of compressions which will be explained below.

Pro Tip #1: There is one variation that can be used when doing compressions on an infant or baby when a second responder is present, which is known as circumferential compressions. To perform circumferential compressions, wrap your fingers around the sides of the infant's chest, placing both thumbs over the compression point just below the nipple line. One of your thumbnails should be resting on the top of the other.

If for some reason you're not able to perform circumferential compressions, then revert back to the normal compression procedure for infants – using your fingers at an angle perpendicular to the chest, meaning your knuckles are directly above your fingers during compressions. Remember that little force will be required when performing compressions on an infant.

Pro Tip #2: The rate of compressions to rescue breaths during infant CPR is the same as with children – 15 compressions for every two rescue breaths.

How to Provide Care

After making sure the scene is safe, that your gloves are on, and that you have your rescue mask with a one-way valve (or bag valve mask when there are two responders), begin calling out to the victim to assess whether or not the infant is responsive.

Are you OK? Can you hear me? (With infants, shouting their name, if you know it, may help.)

If you don't get an initial response, place your hand on the infant's forehead and tap on the bottom of his or her feet. If you still do not get a response, proceed with the following steps.

Call 911 and activate EMS or call in a code if you're in a healthcare setting. If there is a bystander nearby, you can ask for their help – calling 911, locating an AED, etc.
Continue to assess the victim's responsiveness and vital signs – signs of breathing normally, signs of a pulse, etc.
Check for a pulse using the brachial artery, located on the inside of the arm between the bicep and tricep against the humerus bone. Use the flat parts of your index and middle fingers and press on that artery. Spend no more than 10 seconds looking for a pulse.
If you've determined at this point that the victim is unresponsive, not breathing normally, and has no pulse, continue immediately with CPR.

Two-Responder CPR Technique for Infants

Responder one:

Draw an imaginary line across the infant's nipples and place your thumbs on top of one another on the lower part of the center of the sternum to perform circumferential compressions.
Stand or kneel directly over the patient's chest. As less pressure is needed when performing CPR on infants, use only your thumbs to supply the force for the chest compressions, and count as you perform them.
Conduct compressions that go to a depth of 1/3 of the infant's chest cavity, which should be around 1.5 inches deep, and at a rate of between 100 and 120 compressions per minute, which amounts to two compressions per second.
Perform 15 chest compressions.

Responder two:

Grab the bag valve rescue mask and seal it over the infant's face and nose.
If available, place something firm under the infant's shoulders to lengthen the neck a little and create a neutral or slightly sniffing head position.
When using the bag valve mask, remember not to push down on the mask, but rather, lift the mandible up into the mask – using the CE form to seal the mask – and incorporate the proper head-tilt, chin lift as you do. Also, remember that with infants, the head-tilt, chin lift is neutral or slightly sniffing.
Compress the bag on the bag valve mask and wait for the chest to rise and fall before administering the next breath.

Responder one:

Go right back into your 15 chest compressions.

Responder two:

Go right back to delivering two rescue breaths.

Once you reach the two-minute mark, the responder performing chest compressions will call out switch, or the agreed upon word or phrase you'll be using to coordinate a switching of duties.

Responder two, after delivering two more rescue breaths, will hand the bag valve mask to responder one, walk around the patient and get into proper position, and begin performing chest compressions, while responder one prepares to administer rescue breaths using the bag valve mask.

Continue to perform 15 chest compressions to two rescue breaths – while switching duties every two minutes – until help arrives, an AED arrives, or the victim is responding positively and breathing normally.

A Word About Considerations for Pediatric Patients

Cardiac emergencies in children and infants are usually secondary to respiratory problems and airway restrictions. While congenital heart conditions are possible, they aren't common. When cardiac arrest occurs in children and infants, it's usually caused by one of the following:

Airway and breathing problems
Traumatic injuries or incidents – drowning, electrocution, poisoning, etc.
A hard blow to the chest
Congenital heart disease
Sudden infant death syndrome (SIDS)

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When performing multiple provider CPR on an infant the compression ratio is?

The CPR ratio for an infant child is actually the same as the ratio for adults and children, which is 30:2. That is, when performing CPR on an infant, you perform 30 chest compressions followed by 2 rescue breaths.

What is the compression technique when providing multiple provider CPR for an infant?

The only difference in chest compressions for the healthcare provider is in chest compression for infants. The lone healthcare provider should use the 2-finger chest compression technique for infants. The 2-thumb–encircling hands technique (Figure 4) is recommended when CPR is provided by 2 rescuers.

What is the ratio of chest compressions and rescue breaths during pediatric CPR when there are multiple rescuers?

After 30 compressions (15 compressions if 2 rescuers), open the airway with a head tilt–chin lift and give 2 breaths.

What is the correct rate of ventilation delivery for a child or infant quizlet?

If the patient is in respiratory arrest, deliver 1 ventilation every 5 to 6 seconds for an adult and every 3 to 5 seconds for children and infants. Each ventilation should last about 1 second and make the chest begin to rise.