What is the Latest Two-Rescuer Infant CPR Method as of 2020?
Two-Rescuer Infant CPR Updates for 2022 – It’s Important!
The American Heart Association (AHA) has updated their guidelines for infant resuscitation techniques. The most notable change is the introduction of the two-rescuer technique to replace the traditional one-rescuer technique.
The new guidelines state that if a child or infant is unresponsive and not breathing, a lay person can and should assist in performing infant CPR, preferably working with another person who knows how to perform the steps and is trained in CPR. This two-person team should be in constant communication and should switch roles every few minutes to avoid fatigue.
Another important change for two-rescuer CPR is the chest compressions-to-breaths ratio while two rescuers are present. In the past, 30 compressions to 2 breaths was the recommendation, and remains so in adults and teens, as well as in one-rescuer pediatric CPR. However, research has shown that infants and children in respiratory distress are at higher risk of heart failure than adults. Increasing the rate of breaths in two-rescuer pediatric CPR has shown higher survival rates in infants and children experiencing cardiac failure with less long-term health complications.
A Step-by-Step Guide on How to Perform Two-Rescuer CPR for Infants 2022
When two rescuers are present when an infant becomes unresponsive, it is important to know how to work together to increase the baby’s chance of survival. Each rescuer should understand their role, keep calm, and perform the steps as a team.
Here are the steps for 2-rescuer infant CPR:
- Rescuer 1 will tap the bottom of the infant’s foot and call out to them to determine if they are responsive.
- Rescuer 2 will activate emergency response and get an AED if the infant does not respond.
- Rescuer 1 will meanwhile check for breathing and a brachial pulse. This step should take no longer than 10 seconds.
- If Rescuer 2 has not yet returned and the infant has a weak (less than 60 bpm) or an uncertain pulse, Rescuer 1 will begin CPR with a cycle of 30 compressions and two breaths (30:2). The compressions will be 1.5 inches deep into the chest at a rate of 100–120 compressions per minute. Perform the two thumb-encircling technique if the rescuer’s hands can fit around the infant’s chest.
- When the Rescuer 2 returns, Rescuer 1 will resume CPR by performing 15 compressions instead of 30, while Rescuer 2 charges up the AED and joins in to provide two rescue breaths (i.e. switch to a 15:2 ratio).
- When charged, Rescuer 2 will quickly attach the AED pads and both Rescuers will perform the prompts accordingly all-the-while minimizing interruptions to CPR.
- The rescuers should switch roles after 10 cycles (approximately 2 minutes) to prevent fatigue and increase survival probability of the infant until a PALS provider or EMS arrives or the infant’s condition normalizes.
A note on AED use:
If this was an unwitnessed event, give CPR for 2 minutes (10 cycles for two rescuers) before using an AED. If it was a witnessed event, the AED should be used as soon as possible.
Conclusion – Where You Can Learn Two-Rescuer CPR for Pediatric Emergencies?
The updates in the Pediatric CPR guidelines are reflective of the recommendations made by the AHA for 2022 (you can read more about these updates in this article). The new changes are applicable to all healthcare providers, or individuals who care for children. To prepare for these changes, it is imperative that all pediatric healthcare providers and caregivers become certified in the latest CPR and AED techniques and procedures.
Medical ProCerts provides a CPR and Automated External Defibrillator (AED) Certification course (which includes first aid) that teaches the latest updates in adult and pediatric CPR and AED use. This comprehensive online CPR/AED course was specifically developed to create an affordable, user-friendly experience to help you become certified in accordance with the most recent guidelines issued by ILCOR and the AHA.
The course includes:
- first-time and refresher CPR/AED certifications;
- videos, study materials and certification exam;
- 2 year certification;
- 2020 AHA & ILCOR compliant course materials;
- employer approved certification
Sign up and certify in CPR today!