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When performing chest compressions on a child proper hand placement is even more crucial than with adults. Using two fingers locate the victim's sternum at the bottom of the rib cage where the lower ribs meet, and then put the heel of your other hand directly on top of your fingers (Figure 1) - use only the heel of one hand to perform compressions.

A child's smaller and more fragile body requires less pressure. The depth of compressions for a child is about 2 inches. If you feel or hear slight cracking sound, you may be pressing too hard and may need to apply less pressure as you continue.


1. Proper hand placement for child compressions

Count aloud as you compress 30 times at 100-120 compressions per minute (with minimal pauses between compressions), followed by 2 breaths. Perform 5 cycles of 30 compressions and 2 breaths before checking the child's carotid artery for pulse as well as any signs of consciousness. DO NOT FORGET TO DIAL 9-1-1.

Chest compressions will supply blood flow to the heart and the brain but if victim remains unresponsive you will need to check their airway

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