Summary of BLS ABCD Maneuvers for Infants, Children, and Adults (Newborn Information Not Included)
Maneuver
Adult Lay rescuer: ≥8 years HCP: Adolescent and older
Child Lay rescuers: 1 to 8 years HCP: 1 year to adolescent
Infant Under 1 year of age
Airway
Head tilt–chin lift (HCP: suspected trauma, use jaw thrust)
Breathing Initial
2 breaths at 1 second/breath
2 effective breaths at 1 second/breath
HCP: Rescue breathing without chest compressions
10 to 12 breaths/min (approximate)
12 to 20 breaths/min (approximate)
HCP: Rescue breaths for CPR with advanced airway
8 to 10 breaths/min (approximately)
Foreign-body airway obstruction
Abdominal thrusts
Back slaps and chest thrusts
Circulation HCP: Pulse check (≤10 sec) Carotid
Brachial or femoral
Compression landmarks
Lower half of sternum, between nipples
Just below nipple line (lower half of sternum)
Compression method Push hard and fast Allow complete recoil
Heel of one hand, other hand on top
Heel of one hand or as for adults
2 or 3 fingers HCP (2 rescuers): 2 thumb–encircling hands
Compression depth
11/2 to 2 inches
Approximately one third to one half the depth of the chest
Compression rate
Approximately 100/min
Compression-ventilation ratio
30:2 (one or two rescuers)
30:2 (single rescuer) HCP: 15:2 (2 rescuers)
Defibrillation AED Use adult pads Do not use child pads Use AED after 5 cycles of CPR (out of hospital). No recommendation for infants <1 year of age
Use pediatric system for child 1 to 8 years if available
HCP: For sudden collapse (out of hospital) or in-hospital arrest use AED as soon as available.

Note: Maneuvers used by only Healthcare Providers are indicated by "HCP."