Pediatric BLS One Rescuer Algorithm
This algorithm is specifically designed for the management of pediatric emergencies by a single rescuer. It provides a step-by-step guide on how to effectively handle situations where a child is unresponsive, focusing on rapid assessment, initiation of CPR, and use of an Automated External Defibrillator (AED) if appropriate.
Initial Response and Assessment
Ensure Scene Safety: Before approaching, ensure that the environment is safe for both the rescuer and the child.
Check Responsiveness: Attempt to wake the child by tapping and shouting.
Shout for Nearby Help: Quickly seek assistance from nearby individuals without leaving the child.
Activate the Emergency Response System (ERS): If the child remains unresponsive, instruct a bystander to call ERS or do it yourself if alone, then return to the child immediately.
Assess Breathing and Pulse
Check Pulse and Breathing: Assess the child’s pulse and breathing simultaneously for no more than 10 seconds to determine if CPR is needed.
If Pulse Is Irregular or Absent and No Breathing: Prepare to start CPR immediately.
CPR Administration
Begin CPR: Start with compressions at a ratio of 30 compressions to 2 rescue breaths. Ensure compressions are at least one-third the depth of the child’s chest, about 2 inches (5 cm) deep.
Continue CPR: Maintain the 30:2 ratio, switching to a 15:2 ratio if a second rescuer arrives.
Use of AED
Retrieve and Apply AED as Soon as Possible: If an AED is available, apply it as soon as possible after starting CPR. Follow the AED prompts carefully.
Rhythm Check and Shock Delivery: Allow the AED to analyze the rhythm. If a shockable rhythm is detected, administer a shock and then immediately resume CPR.
Continue CPR After Shock: Continue CPR for 2 minutes, then allow the AED to reanalyze the rhythm. Repeat the process if necessary.
Ongoing Management
Activate ERS if Not Already Done: If you were unable to activate ERS before starting CPR, do so at the first possible moment without interrupting CPR.
Continue CPR Until Advanced Help Arrives: Persist with the CPR efforts until professional medical help arrives or the child shows signs of recovery.
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The Pediatric Advanced Life Support (PALS) Recertification instructs medical professionals on performing pediatric cardiopulmonary resuscitation in emergencies.
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.
Our online medical certification course for CPR, Automated External Defibrillator (AED), and First Aid is designed to teach adult, child, and infant CPR and AED use.
The Neonatal Resuscitation Program (NRP) trains medical professionals in performing resuscitation procedures and life-saving techniques for newborns at the time of delivery.