Healthcare, First Aid &
Bloodborne Pathogens
Combo

Compressions:

• Use two fingers in the center of the chest just below the nipple line.
• Compress about 1½ inches (1/3 chest depth).
• Rate: 100–120 per minute.

Airway:

• Tilt the head slightly.
• Do not over-tilt.

Breaths:

• Cover both the mouth and nose with your mouth.
• Give gentle breaths.
• Watch for chest rise.

If alone and collapse was not witnessed:

• Give 5 cycles before leaving to call 9-1-1.

Child and Infant 2-Rescuer CPR

When two healthcare providers are present:

• Use a 15:2 compression-to-ventilation ratio.
• Compress at least one-third the depth of the chest:
  • Child: about 2 inches (5 cm)
  • Infant: about 1½ inches (4 cm)
• For infants, use the two-thumb encircling technique when possible.

Switch roles every 2 minutes to maintain high-quality compressions.

Rescuer 2 – Airway and Ventilation

• Open the airway using the head-tilt, chin-lift (unless spinal injury suspected).
• Deliver breaths using a bag-mask device.
• Provide 2 breaths after each compression cycle.
• Each breath should last about 1 second and produce visible chest rise.
• Avoid excessive ventilation.
• Monitor compression quality and prepare the AED.
• Coordinate compressor switches efficiently to limit pauses.

Using a Bag-Mask Device (BVM)

A bag-mask device is commonly used in healthcare settings to deliver assisted ventilation.

• Select the correct mask size to create a proper seal over the nose and mouth.
• Use the E-C clamp technique to hold the mask:
  • “C” forms a seal with a thumb and index finger.
  • “E” lifts the jaw to maintain airway position.
• Attach the bag to oxygen when available (up to 15 L/min).
• Squeeze the bag just enough to produce visible chest rise.
• Deliver each breath over 1 second.
• If the chest does not rise:
  • Reposition the head.
  • Re-establish the mask seal.
  • Check for visible airway obstruction.

High-quality CPR in a team setting works best when everyone communicates clearly, keeps interruptions short, uses proper ventilation technique, switches roles often to prevent fatigue, and encourages one another to stay strong and focused.