Pediatric Basic Life Support (Single Rescuer): Modern Step-by-Step Guide
Pediatric Emergency • Education

Pediatric Basic Life Support (Single Rescuer)

A fast, modern overview of pediatric BLS for a single rescuer—BLS sequence, breathing & pulse checks, rescue breathing, CPR ratios, AED, and shockable vs nonshockable rhythms.

Educational only—follow local protocols and a licensed clinician’s direction.

In this guide:

Verify Scene Safety & Activate Help

If the child is breathing normally with a pulse, monitor until emergency responders arrive.

Breathing & Pulse—Assess Together (≤10 seconds)

No normal breathing, pulse felt?

Provide rescue breathing and reassess pulse every 2 minutes.

  • If HR < 60/min with signs of poor perfusion → start CPR.

No breathing/gasping and no pulse felt

Start CPR immediately.

Rescue Breathing (when pulse is present)

Action Key points Referral
Breath rate 1 breath every 2–3 seconds (~20–30/min) with visible chest rise Rescue Breathing
Pulse checks Reassess every 2 minutes (≤10 s) Breathing & Pulse
Device Use barrier device or bag-mask; ensure good seal Bag-Mask Ventilation

CPR for the Single Rescuer

Compression–Ventilation Ratios

  • 1 rescuer: cycles of 30 compressions : 2 breaths
  • 2 rescuers (when help arrives): cycles of 15 : 2
  • Use an AED as soon as it becomes available

If alone after ~2 minutes

  • Activate the emergency response system (if not already)
  • Retrieve an AED/defibrillator

AED & Rhythm Check

Shockable rhythm

  • Give 1 shock, resume CPR immediately for 2 minutes
  • Follow prompts; continue until ALS takes over or child shows signs of life

Nonshockable rhythm

  • Resume CPR immediately for 2 minutes (until AED prompts rhythm check)
  • Continue cycles until help arrives or recovery

Use pediatric pads if available; if not, adult pads that do not touch each other may be used.

Cited Keywords & Referral Links

Each keyword links to the main website or a related post on gyathshammha.com.

Bottom line

For pediatric single rescuers: ensure scene safety, assess breathing and pulse together, deliver rescue breathing when a pulse is present, start CPR if no pulse or HR < 60 with poor perfusion, and use an AED as soon as it’s available.

This guide is for education and does not replace clinical judgment or local protocols.

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