Paediatric BLS

D - Danger

• Check scene is safe

R - Response

• Stimulate: tap shoulders, call name
• Infant: flick sole of foot

S - Shout for Help

• Call for help after 1 minute of CPR (single rescuer)
• If two rescuers: one calls, one starts CPR

A - Airway

• Neutral position for infant (small roll under shoulders)
• Sniffing position for child
• Jaw thrust if trauma suspected

B - Breathing

• Look, listen, feel for 10 seconds
• Give 5 rescue breaths if not breathing

C - Circulation

CPR Ratios

• 15:2 (healthcare providers)
• 30:2 (single rescuer or layperson)

Compression Technique

Infant (<1 year):

• Two-thumb encircling technique (preferred)
• Or two-finger technique (single rescuer)
• Depth: 4cm (1/3 chest depth)

Child (1-puberty):

• One or two hands on lower sternum
• Depth: 5cm (1/3 chest depth)

Rate

• 100-120 compressions/min

D - Defibrillation

• AED with paediatric pads if available
• Child 1-8 years: use paediatric pads/attenuator

• 8 years or >25kg: adult pads

• Infant: manual defibrillation preferred if available