After months of research, debate and discussion we’ve made the decision to print with the RCUK and JRCALC recommendation of 15:2 for trained responders. Whilst not a concrete rule, untrained, inexperienced and if in doubt then responders can follow the more widely known 30:2 ratio.
Healthcare professionals with a duty to respond to paediatric emergencies should be fully competent in paediatric BLS; a specific paediatric BLS algorithm is presented as they have an obligation to deliver more comprehensive care.
Those trained only in adult BLS (may include healthcare providers and members of the public) who have no specific knowledge of paediatric resuscitation, should use the adult sequence they are familiar with, including the paediatric modifications if possible
Thorough assessment of the airway is vital, the large majority of paediatric arrests are due to hypoxia. Responders should ensure that all obstructions are cleared appropriately and should avoid blind finger sweeps.
If there are no signs of life or an absent or slow pulse (<60 bpm with poor perfusion) or responders are not sure they should start chest compressions at a rate of 100–120 per minute. Responders should continue alternating compressions and breaths (ventilations) at a ratio of 15:2