Unconscious and not breathing - children

 

Introduction

If a child does not respond to the sound of your voice or to gentle pressure applied to their body, it is likely they are unconscious.

In this context, 'child' refers to anyone between the age of one and puberty. It is neither necessary nor appropriate to check if a child has reached

Recogntion and treatment

Look for

Unconscious - child

  • To confirm if the child is unconscious and not breathing complete the steps of the primary survey - Danger, Response, Airway, Breathing (DRAB)
  • If an AED is available refer to the steps for using an AED.

Check for danger

Check for danger - child

  • Are you or they in any danger?
  • If you have not already done so make the area safe and then assess them
  • If a child is drowning, only enter the water to rescue them if it is safe to do so, you have been trained to do so, and they are unconscious. Dial 999/112 for emegency help immediately for drowning victims.

Check for a response

Check for response - child

Open the airway

Open airway - child

  • Help them to breath by opening their airway
  • To do this, place one hand on the forehead and using two fingers lift the chin.

Check breathing

Check for breathing - child

  • Position your cheek close to their mouth
  • Look, listen and feel for no more than 10 seconds:
    • look to see if the chest is rising and falling
    • listen for breathing
    • feel the breath against your cheek
  • If they are not breathing commence cardiopulmonary resuscitation (CPR)

Call for help

Call 999

  • If you have someone with you, send them to dial 999 (or 112) for an ambulance immediately
  • If you are on your own carry out CPR for one minute before dialling 999 (or 112) for an ambulance.

Give 5 rescue breaths

Rescue breaths - child

  • Ensure the airway is open
  • Seal your lips around the child's mouth and
  • Blow gently into their lungs, looking along the chest as you breathe.
  • As the chest rises, stop blowing and allow it to fall
  • Repeat this five times.

Give 30 compressions

Chest compressions - child

  • Place one or two hands in the centre of the chest (depending on the size of the child) - it is possible to identify the correct hand position without removing the child's clothes.
  • Use the heel of that hand with arms straight and press down to a third of the depth of the chest
  • Press 30 times, at a rate of 100-120 compressions per minute
  • After 30 compressions, give 2 rescue breaths.

Continue CPR

Chest compressions - child

  • Continue resuscitation, 30 compressions to 2 rescue breaths
  • Do not stop unless:
    • emergency help arrives and takes over
    • they show signs of recovery such as coughing, opening eyes, speaking or moving purposefully and breathing normally
    • you become so exhausted that you cannot carry on.
 

Video

More information about unconscious not breathing children

Cardiopulmonary resuscitation (CPR) is a technique whereby oxygen is pumped around the body using a combination of chest compressions and rescue breaths.

If you are familiar with adult CPR and have no knowledge of child CPR, use the adult sequence.

Unable, unwilling or untrained to give rescue breaths

  • Give chest compressions only and continue at a rate of 100-120 per minute (about the speed of the song 'Staying alive').

Two trained rescuers

  • Change every two minutes with minimal disruption.

Agonal breathing

This is common in the first few minutes after a sudden cardiac arrest. It usually takes the form of sudden irregular gasps for breath. It should not be mistaken for normal breathing and if it is present chest compressions and rescue breaths (together called cardiopulmonary resuscitation or CPR) should be started without hesitation.

Related topics

Next steps

Take a first aid course

The advice provided in this section is no substitute for proper first aid training.

St John Ambulance holds first aid courses throughout the country. The following courses cover this topic:

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