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Pediatric BLS One Rescuer Algorithm - Updated 2020

This algorithm outlines what do to if you are the lone rescuer in an emergency, life saving situion. If you are the first responder on scene to a potential cardiac arrest child/infant victim, make sure to first check for your safety and the safety of the victim. You want to ensure the setting is right to begin the BLS Assessment.

Pediatric BLS Algorithm - One Rescuer Download Printable Algorithm

Algorithm Notes

One-Rescuer BLS Sequence

If you are the first responder on scene to a potential cardiac arrest child/infant victim, make sure to first check for your safety and the safety of the victim. You want to ensure the setting is right to begin the BLS Assessment.

The BLS Assessment has four sequential steps:

BLS assessment

Let's look at each one of these steps individually.

STEP EXPLANATION
1: Check Responsiveness

When intervening with a patient who appears to be unresponsive, the first action is to tap the patient and ask loudly "Are you alright?"

Obviously, an infant or young child will not respond to your question. However, look for facial cues to identify a reaction from the victim.

2: Activate the Emergency Response System and retrieve the AED (Automated External Defibrillator)

If the victim is unresponsive, Call 911 or shout for help. If someone is available, send them to call 911 and retrieve the AED or defibrillator.

3: Circulation and Breathing

Check the pulse (5-10 seconds)

  • Infant: Pulse check using the brachial pulse.

  • Child: Pulse check using the carotid or femoral pulse.

While checking the pulse, simultaneously check the patient for absent or abnormal breathing (gasping) by observing the patient's chest for 5-10 seconds.

  • If there is abnormal breathing but there is a pulse, then begin only rescue breathing:

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4: Defibrillation

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ACLS Recertification

129

The Advanced Cardiac Life Support (ACLS) Recertification teaches medical professionals how to respond to nearly all cardiopulmonary emergencies.

PALS Recertification

129

The Pediatric Advanced Life Support (PALS) Recertification teaches medical professionals to manage and respond to cardiopulmonary resuscitation of pediatric patients in emergency situations.

BLS Recertification

65

The Basic Life Support (BLS) Recertification is intended to teach healthcare professionals the basic steps of CPR and rescue breathing for adults, children and infants.

CPR Recertification

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Cardiopulmonary Resuscitation, Automated External Defibrillator (AED) and First Aid Recertification is designed to teach adult and child CPR and AED use, infant CPR, and how to relieve choking in adults, children and infants.

ACLS Certification

179

The Advanced Cardiac Life Support (ACLS) Certification teaches medical professionals how to respond to nearly all cardiopulmonary emergencies.

PALS Certification

179

The Pediatric Advanced Life Support (PALS) Certification teaches medical professionals to manage and respond to cardiopulmonary resuscitation of pediatric patients in emergency situations.

BLS Certification

95

The Basic Life Support (BLS) Certification is intended to teach healthcare professionals the basic steps of CPR and rescue breathing for adults, children and infants.

CPR Certification

39

Cardiopulmonary Resuscitation, Automated External Defibrillator (AED) and First Aid Certification is designed to teach adult and child CPR and AED use, infrant CPR, and how to relieve choking in adults, children and infants.

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All BLS Algorithms

BLS Adult Cardiac Arrest Algorithm

BLS Adult Cardiac Arrest Algorithm

If there is more than one responder on scene for a potential cardiac arrest child/infant victim, make sure to first check for responder safety and the safety of the victim. You want to ensure the setting is right to begin the BLS Assessment.

View Algorithm

Pediatric BLS One Rescuer Algorithm

Pediatric BLS One Rescuer Algorithm

This algorithm describes the BLS sequence specifically for children and infants. There are key differences when compared to the BLS sequence for adults. Infants are not a newborn but less than 1 year old and children are older than 1 year old but younger than puberty.

View Algorithm

Pediatric BLS Two Rescuer Algorithm

Pediatric BLS Two Rescuer Algorithm

There are slight differences between the one and two rescuer algorithm for children and infants. This algorithm highlights what makes a two rescuer situation unique.

View Algorithm