BLS Healthcare Provider
Pediatric Cardiac Arrest Algorithm for the Single Rescuer—2015 Update

End

CPR
1 rescuer: Begin cycles of 30 compressions and 2 breaths.
(Use 15:2 ratio if second rescuer arrives.)
Use AED as soon as it is available.

Verify scene safety.

Victim is unresponsive.
Shout for nearby help.
Activate emergency response system via mobile device (if appropriate).

Provide rescue breathing: 1 breath every 3–5 seconds, or about 12–20 breaths/min.

Add compressions if pulse remains !!lteq!!60/min with signs of poor perfusion.
Activate emergency response system (if not already done) after 2 minutes.
Continue rescue breathing; check pulse about every 2 minutes. If no pulse, begin CPR (go to “CPR” box).

Activate emergency response system (if not already done).
Return to victim and monitor until emergency responders arrive.

Activate emergency response system (if not already done), and retrieve AED/defibrillator.

Witnessed sudden collapse?

Yes

No

Look for no breathing or only gasping and check pulse (simultaneously).
Is pulse definitely felt within 10 seconds?

Normal breathing, has pulse

No breathing or only gasping, no pulse

No normal breathing, has pulse

After about 2 minutes, if still alone, activate emergency response system and retrieve AED (if not already done).

Yes, shockable

No, nonshockable

Resume CPR immediately for about 2 minutes (until prompted by AED to allow rhythm check).
Continue until ALS providers take over or victim starts to move.

Give 1 shock. Resume CPR immediately for about 2 minutes (until prompted by AED to allow rhythm check).
Continue until ALS providers take over or victim starts to move.