a. Locate Compression Site.
(1) Child. The chest compression site on a child is located on top of the
infant's sternum just below an imaginary line connecting the nipples (figure 6-4).
Infant. The chest landmarks on an infant are the same as for the child.
Figure 6-4. Locating the compression site on an infant.
b. Administer Thirty Chest Compressions.
(a) Use one or two hands to administer chest compressions to a child,
depending on the size of the child. The 30:2 compression ratio will be used for one
rescuer CPR in the child and infant. For two rescuers the ratio will be 15:2. Press
straight down on the heel of your hand over the compression site so that the sternum is
depressed 1/3 to 1/2 the total depth of the chest (1 to 1 1/2 inches).
(b) Repeat the compressions at a rate of 100 per minute.
(c) Allow the chest to return to its resting position after each thrust, but
do not remove your heel from the compression site. If the compression site is lost,
repeat the location procedures before administering more chest thrusts. The thrust and
the relaxation parts of the compression should be of equal duration.
(a) The infant should be lying on a firm, flat surface before CPR is
begun. If needed, you can provide a firm support by slipping your nondominant hand
under his back and using your dominant hand to administer compressions.