You arrive on the scene: Check scene for safety
1. Check for consciousness. Gently tap the shoulder and shout.
No Response
2. Call 911.
3. If the child is lying on his stomach, turn him over onto his back. Check for Breathing and a Pulse:
a. Tilt the child's head back using the palm of one hand. At the same time lift up on the child's chin with 2 fingers of your other hand. Put your ear close to the child's nose and mouth and watch his chest for any movement. Look, listen and feel for breathing.
b. Check for a pulse by sliding your 2 fingers into the groove on the side of the child's neck as you look for signs of life and breathing for no more than 10 seconds.
No Breathing
Keep the head tilted back, pinch the child's nose and place your mouth over his. Give 2 slow, gentle breaths -- just enough to make the chest rise.
Pulse, But No Breathing
Begin Rescue Breathing:
a. Tilt the head back. Lift the chin. Pinch the nose. Breathe slowly and gently into the child. Give one breath every 3 seconds (count 1-1000, 2-1000, breathe, etc.).
b. Recheck for breathing and pulse every 2 minutes or every 40 breathes.
No Pulse, No Breathing
Begin CPR:
a. Position one hand on the center of the child's chest, place the other hand on top of the first hand.
b. With elbows locked and straight, compress the child's chest 2 inches in depth 30 times. Give 2 breathes (continue with 30 compressions/2 breathes, 30 compressions/2 breathes, etc.).
Continue CPR until another rescuer takes over or you see signs of life. If you witness a sudden collapse, call 911. No pulse, no breathing, begin CPR.
