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BLS for Children (Age 1 to Puberty)

Please purchase the course before starting the lesson.

One-Rescuer BLS for Children

If you are alone with a pediatric victim:

  1. Shake and shout at the victim to determine if they are responsive.
  2. Assess if they are breathing.
  3. If the child does not respond and they are not breathing (or if they are only gasping), yell for help. If someone responds, send the second person to activate the Emergency Response System and get an AED.
  4. Feel for the child’s carotid pulse (on the side of the neck) or femoral pulse (on the inner thigh in the crease between their leg and groin) for no more than 10 seconds.
  5. If you cannot feel a pulse (or if you are unsure), begin CPR by doing 30 compressions followed by 2 breaths. If you CAN feel a pulse but the pulse rate is less than 60 beats per minute, you should begin CPR. This rate is too slow for a child.
  6. After doing CPR for about 2 minutes (usually about 5 cycles of 30 compressions and 2 breaths) and if other help has not arrived, leave the child to call EMS and get an AED (if you know where one is).
  7. Use and follow AED prompts when available while continuing CPR until EMS arrives or child’s condition normalizes.

Two-Rescuer BLS for Children

If you are not alone with a pediatric victim:

  1. Shake and shout at the victim to determine if they are responsive.
  2. Assess if they are breathing.
  3. If the child does not respond and they are not breathing (or if they are only gasping), send the second person to activate the Emergency Response System and get an AED.
  4. Feel for the child’ carotid pulse (on the side of the neck) or femoral pulse (on the inner thigh in the crease between their leg and groin) for no more than 10 seconds.
  5. If you cannot feel a pulse (or if you are unsure), begin CPR by doing 30 compressions followed by 2 breaths. If you CAN feel a pulse but the rate is less than 60 beats per minute, begin CPR. This rate is too slow for a child.
  6. When the second rescuer returns, begin doing CPR by performing 15 compressions by one rescuer and 2 breaths by the second rescuer.
  7. Use and follow AED prompts when available while continuing CPR until EMS arrives or child’s condition normalizes.
Back to: Pediatric Advanced Life Support (PALS) Course > PALS Basic Life Support