The second lesson in chapter 4 discusses Two-Rescuer BLS for Children. Children are defined as between age 1 and puberty. The process for two rescuers is described in detail, step-by-step. Each rescuer must be aware of their role and responsibilities to avoid miscommunication and other issues. CPR and AED use are reviewed.
"You’ll see that the process of one-rescuer and two-rescuer BLS in children is very similar. Now, let’s review the two-rescuer BLS process for children.
The first step is to shake their shoulders and shout at the child to determine if they are responsive.
Then, asses if they are breathing by putting your ear up to their mouth or by watching their chest.
If the child is not responding or breathing, then send the second rescuer to activate EMS by calling 911 and to retrieve an AED.
Next, feel for the child’s pulse for no more than ten seconds. You can either check for carotid pulse on the side of the neck or the femoral pulse on the inner thigh in the crease between the leg and the groin.
If there is no pulse or you can’t tell and if the second rescuer has not returned, then begin CPR with a 30 to 2 compression-to-breath ratio. If the pulse is less than 60 beats per minute, then still initiate CPR.
When the second rescuer returns, begin CPR by performing 15 compressions and then having the second rescuer deliver two breaths.
Next, use and follow the AED prompts while continuing CPR (at a ratio of 15 compressions to two breaths) until EMS arrives or until the child’s condition normalizes."
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