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Robbin B.

Hand Placement During CPR - Child vs. Adults

Cardiopulmonary resuscitation (CPR) is a critical lifesaving technique used in emergencies when a person's heart has stopped beating or they have stopped breathing. The proper technique of CPR involves a series of chest compressions and rescue breaths to help circulate oxygenated blood to vital organs, including the heart and brain. One of the most critical aspects of performing CPR is hand placement, which differs for infants, children, and adults. In this article, we will explore the importance of hand placement during CPR and how it differs for each age group.


Importance of Hand Placement

Hand placement during CPR is critical for several reasons. Firstly, it helps to ensure that chest compressions are delivered to the correct location, which is essential for maintaining blood flow to vital organs. Proper hand placement also helps to prevent injury to the person receiving CPR. In infants, using two fingers helps to prevent damage to the delicate rib cage, while in children and adults, using one or two hands helps to deliver enough force to compress the chest adequately.


Another crucial factor to consider when performing CPR is the rate of chest compressions. The American Heart Association (AHA) recommends performing chest compressions at a rate of 100-120 per minute for all age groups. Maintaining a consistent rate of compressions helps to ensure that blood is flowing effectively to vital organs, improving the chances of a positive outcome.


Hand Placement in Infants

Infants are defined as children under the age of one year old. When performing CPR on an infant, the rescuer should first check for responsiveness and call for emergency medical services (EMS) before initiating CPR. Next, the rescuer should place the infant on a firm, flat surface and ensure that their airway is open. The rescuer should then place two fingers in the middle of the infant's chest, just below the nipple line.


The depth of chest compressions should be about 1 1/2 inches or 4 cm. The rescuer should perform 30 chest compressions at a rate of 100-120 per minute, followed by two rescue breaths. The rescuer should use their mouth to cover the infant's nose and mouth, creating a tight seal, and deliver two breaths.


Hand Placement in Children

Children are defined as individuals between the ages of one and eight years old. When performing CPR on a child, the rescuer should first check for responsiveness and call for EMS before initiating CPR. Next, the rescuer should place the child on a firm, flat surface and ensure that their airway is open. The rescuer should then place one or two hands on the center of the child's chest, just below the nipple line.


The depth of chest compressions should be about 2 inches or 5 cm. The rescuer should perform 30 chest compressions at a rate of 100-120 per minute, followed by two rescue breaths. The rescuer should use their mouth to cover the child's mouth and nose, creating a tight seal, and deliver two breaths.



Hand Placement in Adults

When performing CPR on an adult, the rescuer should first check for responsiveness and call for EMS before initiating CPR. Next, the rescuer should place the adult on a firm, flat surface and ensure that their airway is open. The rescuer should then place the heel of one or two hands on the center of the adult's chest, between the nipples.


The depth of chest compressions should be about 2 inches or 5 cm. The rescuer should perform 30 chest compressions at a rate of 100-120 per minute, followed by two rescue breaths. The rescuer should use their mouth to cover the adult's mouth and nose, creating a tight seal, and deliver two breaths.

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