Related Link: CPR-U of Washington School of Medicine English Spanish Chinese - Excellent Guide + Videos To Help Someone Not Breathing, Moving, Responding

CPR INSTRUCTIONS FOR BABY     return to index

FIRST Get somebody to call EMERGENCY immediately (911 in US) If you are alone do CPR for a full 2 minutes before calling.

No Longer Recommended:

Risk: No documentation that HIV or AIDS has ever been transmitted by CPR.

Additional steps on how to do CPR procedure for a baby

1. If baby does not respond to tapping on shoulder or a shout, lay baby on its back.

2. Open mouth with fingers and be sure that tongue is not blocking throat. Do not do this without looking. Use finger sweep to remove any blockage. Do not do a blind finger sweep. Look at what you are doing.

3. If not possible neck injury, place hand on forehead and other hand under chin, and gently tilt head back to free tongue so as not to block windpipe.

4. Cover mouth and nose with your mouth or hold nose shut and blow 2 times (chest should rise).
If air does not seem to be going through or chest does NOT rise when doing breaths, look inside mouth using finger sweep to remove any blockage. Do not do a blind finger sweep. Look at what you are doing.

5. Put middle two fingers (3rd and 4th) in middle of chest just below level of nipples.

6. Gently press down 30 times about 1/3 of depth of chest at a rate of a little less than about 2 per second (100 per minute)

7. CYCLE:
2 breaths (both mouth and nose covered) and then
30 chest presses (a little less than 2 per second) with middle fingers

8. If you feel pulse return, continue with breaths only.

9. Continue until there is movement or rescue team comes.

10. If baby vomits, turn the head to the side and try to sweep out or wipe off the vomit. Continue with CPR.
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CPR instructions for CHILD (8 years old or under)   return to index

FIRST

No Longer Recommended:

Risk: No documentation that HIV or AIDS has ever been transmitted by CPR.

How to do CPR on a child
(If you are alone, do steps 1 thru 6 and do the cycle 2 full minutes before calling emergency, and then continue CPR)

1. Place on back

2. Look inside mouth using finger sweep to remove any blockage. Do not do a blind finger sweep. Look at what you are doing.

3. If not possibility of neck injury, gently tilt head back to free tongue from blocking windpipe (hand on forehead and other hand under chin)

4. Hold nose shut - cover mouth with your mouth and give 2 breaths (each 2 seconds and see chest rise)
If air does not seem to be going through or chest does NOT rise when doing breaths, look inside mouth using finger sweep to remove any blockage. Do not do a blind finger sweep. Look at what you are doing.

5. Then put heel of one hand on the center of the chest (midway between nipples)

6. Press down about 1/3 of depth of chest 30 times at a rate of a little less than about 2 per second (100 per minute)

7. CYCLE: Repeat 2 breaths and 30 chest press

8. If you feel pulse return, continue with breaths only

9. Continue until there is movement or rescue team comes

10. If child vomits, turn the head to the side and try to sweep out or wipe off the vomit. Continue with CPR.

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CPR instructions for ADULT (anyone over 8 years old) return to index

No Longer Recommended:

Risk: No documentation that HIV or AIDS has ever been transmitted by CPR.

What are CPR procedures for an adult
IMPORTANT: CALL EMERGENCY FIRST if at all possible due to possibility of heart attack or other emergency event.

1. Place on back

2. Open mouth with fingers and be sure that tongue or something else is not blocking throat. Do not do this without looking. Use finger sweep to remove any blockage. Do not do a blind finger sweep. Look at what you are doing.

3. If not possibility of neck injury, place hand on forehead and other hand under chin, and gently tilt head back to free tongue so not blocking windpipe

4. Hold nose shut - cover mouth with your mouth and give 2 breaths (each 1.5-2 seconds and see chest rise)
If air does not seem to be going through or chest does NOT rise when doing breaths, look inside mouth using finger sweep to remove any blockage. Do not do a blind finger sweep. Look at what you are doing.

5. Put heel of one hand midway between nipples and put other hand on top of first

6. Press down 30 times to a depth of about 1 1/2 to 2 inches at a rate of a little less than about 2 per second (100 per minute)

7. CYCLE: Repeat 2 breaths followed by 30 chest presses

8. If you feel pulse return, continue with breaths only

9. Continue until movement or rescue team comes

10. If person vomits, turn the head to the side and try to sweep out or wipe off the vomit. Continue with CPR.

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*If person was drowning, do not attempt to remove water from person.
"There is no evidence that water acts as an obstructive foreign body, and time should not be wasted in attempting to remove water from the victim. Such maneuvers can cause injury but—more importantly—will delay CPR, particularly support of airway and ventilation." [AHA 001]

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This page has been approved by Dr. Mickey Eisenberg

Rhythmic Abdomen Press with Chest Press
Source: http://www.vet.purdue.edu/iaccpr/index.html
IAC stands for interposed abdominal compression. IAC-CPR includes all the steps of conventional external cardiopulmonary resuscitation (CPR) with the addition of interposed abdominal compressions by a second or third rescuer, applied in counterpoint to the rhythm of chest compression. Pulses of central abdominal pressure are applied with overlapping hands just headward of the umbilicus alternating with chest compressions. Scattered early reports published between 1957 and 1980 hinted at the virtue of abdominal binding and abdominal compression in the resuscitation of children and animals from cardiac arrest. In the decade of the 1980s extensive studies in animals and in electronic models suggested a rough doubling of systemic blood flow when interposed abdominal compressions were added to otherwise standard CPR. In the 1990s randomized clinical trials involving several hundred patients showed a doubling of immediate resuscitation success and longer term survival with IAC-CPR, compared to standard CPR. American Heart Association committees on emergency cardiovascular care are currently evaluating, IAC-CPR in evidence-based reviews of national Guidelines for both basic and advanced life support. Blayne Roeder Charles F. Babbs, MD, PhD