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CPR on a Child vs Adult: How Does It Differ?

A person practices CPR on a medical training dummy. The person's hands are placed on the chest of the dummy, which is equipped with defibrillator pads. Various CPR and first aid equipment are visible around the scene.

While learning CPR may feel intimidating at first, it is a crucial skill to have in case you ever find yourself in a medical emergency situation.

Although CPR training is essential, it’s just as crucial that it is performed correctly. The key to effective CPR training is learning how to tailor the procedure according to the age of the patient.

Knowing CPR is not only a necessity for parents and caregivers, but anyone who spends time around children regularly.

CPR for adults and children may share some similarities, but some significant differences exist, especially when performing it on younger children and infants. The correct CPR training considers age group differences, preparing you to take action in a medical emergency.

What is Adult CPR?

Cardiopulmonary resuscitation (CPR) combines 30 rhythmic chest compressions and two rescue breaths used as an emergency lifesaving procedure in patients with no heartbeat. During CPR, the rescuer uses both hands to compress the chest center at a depth of two inches at a rate of 100 to 120 compressions per minute, a procedure that helps stimulate the heart physically. They then give rescue breaths using the correct quantity of air to raise the patient’s chest.

Adult CPR Example

Imagine witnessing an adult suddenly collapse in a park. You check for responsiveness—no response. You call for emergency help and position the person on their back. Starting chest compressions, you place your hands interlocked in the center of the chest, pressing down at least 2 inches deep at a rate of 120 compressions per minute. After 30 chest compressions, you tilt the head back, seal your mouth over theirs, and deliver two rescue breaths, watching for chest rise. You continue this cycle until help arrives.

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What is Infant CPR?

Children have flexible bones, ensuring they don’t get hurt when CPR is required. When performing CPR on an infant, it is crucial to make a complete seal over both the infant’s mouth and nose while administering rescue breaths. However, infants require special care because they are more delicate because of their lighter weight and bone density. Therefore, children and infant CPR teaches you to check for responsiveness and a pulse in different age groups and perform rescue breaths and chest compressions.

Child CPR Example

Now, consider a scenario where a child, about 7 years old, collapses at a family gathering. You ensure the scene is safe and call for emergency assistance. The cardiopulmonary resuscitation process starts with laying the child on a firm surface; you use one hand for chest compressions, pushing down about 2 inches deep at the same rate of 120 compressions per minute. After 30 compressions, you give two rescue breaths, covering both the mouth and nose, ensuring to see the chest rise. You repeat until professional help arrives.

Recognizing Cardiac Arrest

Recognizing cardiac arrest is crucial for performing CPR effectively. Cardiac arrest occurs when the heart suddenly stops beating or fails to beat effectively. Key signs of cardiac arrest include:

  • No breathing or abnormal breathing

  • No pulse or a weak pulse

  • Unresponsiveness

  • Pale or blue-tinged skin

  • Confusion or loss of consciousness

If you suspect someone is experiencing cardiac arrest, it’s vital to call the emergency response system immediately. Once you’ve alerted emergency services, start CPR if you are trained to do so. Quick action can significantly increase the chances of survival.

Checking for Responsiveness in Children and Infants

You can gently shake a young child to see if there is any responsiveness, but you can’t do this with an infant. Since a gentle shake is unsafe for babies, the correct way to check is to tap its foot or speak loudly to see if it responds.

Checking for a Pulse

In young children, you can check for a pulse in the same way that you would for an adult at the carotid artery. However, the best way to check for their pulse in infants is on the inner upper arm, known as the brachial artery.

Giving Rescue Breaths

To perform CPR on an adult, full lung-strength rescue breaths are required for better effectiveness. However, children need gentler puffs, and baby breaths even more so. Filling your cheeks with air usually suffices for infant rescue breaths. You must always ensure that the chest rises and falls during rescue breaths to achieve adequate chest rise.

Additionally, the head is always tilted back gently when performing rescue breaths on a young child or infant.

A person performing chest compressions on another person lying on the ground near a pool. Both individuals are wearing blue long-sleeved shirts and shorts. The image suggests an emergency medical response training.

Giving Chest Compressions

When giving chest compressions to infants, the CPR techniques differ; you should only use two fingers because of the size of their bodies. The depth of the compressions also changes; they are shallower than those given to adults and young children.

Calling for Emergency Response

Another difference between adult and children/infant CPR is when to call emergency services. With adults, immediately call 911 before beginning CPR unless you think they have a blocked airway.

With infants and children, always begin CPR immediately and call 911 after a few minutes or when it regains consciousness. Why is this important? Because children and infants have a better chance of survival when performed immediately, therefore you need to start chest compressions immediately. Of course, in cases where two people are present, one can perform CPR, and the other should call in all cases, whether they are adults, children, or infants.

Benefits of Learning CPR

CPR is a lifesaving procedure performed when someone’s heart stops beating. Pediatric CPR is especially important as it involves specific techniques tailored for children and infants. Research has shown that CPR increases the chances of survival for cardiac arrest victims by more than double.

CPR keeps the blood flow active in someone who has stopped breathing and has no pulse, allowing blood and oxygen to maintain the function of vital organs like the brain.

Two individuals wearing blue gloves practice CPR on an infant mannequin. One person performs chest compressions, while the other prepares a resuscitation mask next to the mannequin. Another adult mannequin torso is partially visible.

How to Prepare for Providing CPR

Training remains the best way to prepare for CPR and maintain your certification. However, logic says that even if you are untrained, it’s always best to try and do something to save someone’s life than to do nothing.

Always make sure of the following as you prepare to offer CPR:

  • Ensure a safe environment.

  • Check if the person is unconscious.

  • Call 911 first if dealing with an adult and then perform CPR, or do the opposite if it’s a child or infant. Knowing child CPR is crucial as it involves specific procedures and distinctions for children aged 1-12.

  • Use an AED only if it instructs you to proceed with delivering the shock.

  • Remember the order of CPR: compressions, airway, breathing.

Survival Rate Statistics for CPR

Brain damage occurs within minutes from a lack of oxygen. Therefore, if a person does not receive CPR immediately in an emergency like a cardiac arrest, it is improbable that they will survive if they wait for emergency services.

Recent statistics show that quickly performing CPR increases their chances of survival by nearly 45 percent in out-of-hospital situations for cardiac arrest victims helped by bystanders or relatives.

A group of people wearing masks and seated in a classroom are being instructed in infant CPR by a person holding a baby mannequin. Various training equipment and instructional posters are visible in the background.

Find a CPR Training Near You

Not only do medical emergencies happen at work, but they also take place in more familiar settings like around the house. Being certified in First Aid and CPR means that you can step up and help in any emergency situation. The more training you have, the better equipped you are to handle unforeseen situations which might come your way.

Help improve the outcomes for people in out-of-hospital situations by completing CPR training so that you are ready to take immediate action. Coast2Coast provides CPR Level A, CPR Level C, and Basic Life Support classes across Ontario in several locations, making it highly convenient for you.

Register for a First Aid & CPR Training Course

Choose from any of our locations across Ontario and gain the knowledge and skills to save a life!