Pediatric Health Care Provider Basic Life Support (BLS) Algorithm - Flowchart
Pediatric Health Care Provider Basic Life Support (BLS) Algorithm - Flowchart Pediatric Health Care Provider Basic Life Support (BLS) Algorithm Pediatric Health Care Provider Basic Life Support (BLS) Algorithm
Flowchart
Pediatric BLS Health Care Providers * Pediatric BLS Health Care Providers * * * Not Shockable Not Shockable Not Shockable Definite
Pulse
Definite
Pulse
Definite
Pulse

Shockable Shockable Shockable Note: The boxes bordered with dashed lines are performed
by health care providers and not by lay rescuers
Note: The boxes bordered with dashed lines are performed
by health care providers and not by lay rescuers
Note:
No Pulse No Pulse No Pulse High-Quality CPR


Rate at least 100/min
Compression
depth to at least
one-third anterior–
posterior diameter of
chest, about 1.5 inches
(4 cm) in infants
and 2 inches (5 cm)
in children
Allow complete
chest recoil after each
compression
Minimize interruptions
in chest compressions
Avoid excessive
ventilation

High-Quality CPR


Rate at least 100/min
Compression
depth to at least
one-third anterior–
posterior diameter of
chest, about 1.5 inches
(4 cm) in infants
and 2 inches (5 cm)
in children
Allow complete
chest recoil after each
compression
Minimize interruptions
in chest compressions
Avoid excessive
ventilation

High-Quality CPR


Rate at least 100/min
Compression
depth to at least
one-third anterior–
posterior diameter of
chest, about 1.5 inches
(4 cm) in infants
and 2 inches (5 cm)
in children
Allow complete
chest recoil after each
compression
Minimize interruptions
in chest compressions
Avoid excessive
ventilation


Rate at least 100/min
Compression
depth to at least
one-third anterior–
posterior diameter of
chest, about 1.5 inches
(4 cm) in infants
and 2 inches (5 cm)
in children







Allow complete
chest recoil after each
compression


Minimize interruptions
in chest compressions

Avoid excessive
ventilation
Unresponsive
Not breathing or only gasping

Send someone to activate emergency
response system, get AED/defibrillator
Unresponsive
Not breathing or only gasping

Send someone to activate emergency
response system, get AED/defibrillator
Unresponsive
Not breathing or only gasping



Check pulse:
DEFINITE pulse
within 10 seconds?
Check pulse:
DEFINITE pulse
within 10 seconds?


Check pulse: DEFINITE pulse within 10 seconds? Lone Rescuer Lone Rescuer Check pulse:
DEFINITE pulse
within 10 seconds?
Check pulse:
DEFINITE pulse
within 10 seconds?
Check pulse:
DEFINITE pulse
within 10 seconds?


No Pulse No Pulse Definite Pulse Definite Pulse 3A 3A


Give 1 breath every
3 seconds
Add compressions
if pulse remains
<60/min with
poor perfusion
despite adequate
oxygenation and
ventilation
Recheck pulse every
2 minutes


Give 1 breath every
3 seconds
Add compressions
if pulse remains
<60/min with
poor perfusion
despite adequate
oxygenation and
ventilation
Recheck pulse every
2 minutes


Give 1 breath every
3 seconds
Add compressions
if pulse remains
<60/min with
poor perfusion
despite adequate
oxygenation and
ventilation
Recheck pulse every
2 minutes


Give 1 breath every
3 seconds

Add compressions
if pulse remains
<60/min with
poor perfusion
despite adequate
oxygenation and
ventilation






Recheck pulse every
2 minutes
4 4 One Rescuer: Begin cycles of 30 COMPRESSIONS and 2 BREATHS

Two Rescuers: Begin cycles of 15 COMPRESSIONS and 2 BREATHS
*
One Rescuer: Begin cycles of 30 COMPRESSIONS and 2 BREATHS

Two Rescuers: Begin cycles of 15 COMPRESSIONS and 2 BREATHS*
One Rescuer 30 COMPRESSIONS 2 BREATHS

Two Rescuers 15 COMPRESSIONS 2 BREATHS* * *
5 5 After about 2 minutes, activate emergency response system and get
AED/defibrillator (if not already done).
Use AED as soon as available.
After about 2 minutes, activate emergency response system and get
AED/defibrillator (if not already done).
Use AED as soon as available.
After about 2 minutes, activate emergency response system and get
AED/defibrillator (if not already done).
Use AED as soon as available.


6 6 Check rhythm
Shockable rhythm?
Check rhythm
Shockable rhythm?

Schockable Schockable Not Schockable Not Schockable 8 8

Resume CPR immediately
for 2 minutes
Check rhythm every
2 minutes; continue until
ALS providers take over or
victim starts to move

#x2191 RETURN

Resume CPR immediately
for 2 minutes
Check rhythm every
2 minutes; continue until
ALS providers take over or
victim starts to move

#x2191 RETURN

Resume CPR immediately
for 2 minutes
Check rhythm every
2 minutes; continue until
ALS providers take over or
victim starts to move

Resume CPR immediately




#x2191 RETURN

#x2191

Give 1 shock
Resume CPR immediately

for 2 minutes

#x2191 RETURN

Give 1 shock
Resume CPR immediately

for 2 minutes

#x2191 RETURN

Give 1 shock
Resume CPR immediately

for 2 minutes

Give 1 shock
Resume CPR immediately


#x2191 RETURN

#x2191

Give 1 shock
Resume CPR immediately

for 2 minutes

#x2191 RETURN

Give 1 shock
Resume CPR immediately

for 2 minutes

#x2191 RETURN

Give 1 shock
Resume CPR immediately

for 2 minutes

Give 1 shock
Resume CPR immediately


#x2191 RETURN

#x2191 2 2

Lone Rescuer: For SUDDEN COLLAPSE,
activate emergency response system,
get AED/defibrillator

Lone Rescuer: For SUDDEN COLLAPSE,
activate emergency response system,
get AED/defibrillator

Lone Rescuer: For SUDDEN COLLAPSE,
activate emergency response system,
get AED/defibrillator

Lone Rescuer: For SUDDEN COLLAPSE,
activate emergency response system,
get AED/defibrillator