13
Mar 2024
Pediatric CPR: Adapting Techniques for Younger Individuals
Published in General on March 13, 2024
 
                                                            Pediatric CPR, or cardio-pulmonary resuscitation, plays a critical role in saving lives and helping to maintain the well-being of younger individuals. It is essential for caregivers, parents, teachers, and anyone who interacts with children to be familiar with the basics of pediatric CPR. By understanding how to adapt CPR techniques for younger individuals, you can increase the chances of successful resuscitation in an emergency situation.
1. Understanding Pediatric CPR Basics:
Performing pediatric CPR requires a solid foundation in basic life support (BLS) techniques. However, it is important to note that there are some differences when administering CPR to children compared to adults. The first key difference is the compression-to-ventilation ratio. For adults, it is typically 30 compressions followed by two breaths. In pediatric cases (children aged 1 to puberty), the recommended ratio shifts to 30 compressions followed by one breath. Signing up for courses offered by companies like TinyHearts can help parents familiarise themselves with the essentials of pediatric CPR.
2. Hand Placement and Compression Technique:
When performing pediatric CPR on children above the age of one year, hand placement remains relatively similar to adult techniques. The caregiver should position themselves beside or slightly above the child's chest and place their hand at the centre of their chest on the lower half of their breastbone (sternum). However, when performing compressions on infants under the age of one year old, it's important to remember that they have a smaller chest cavity and more delicate bones. Caregivers should use two fingers rather than their entire hand for compression.
3. Adjusting Compression Depth and Rate:
Adjusting both compression depth and rate is crucial to ensure effective CPR in young individuals. Adult guidelines recommend compressions with a minimum depth of two inches (5 cm). But when dealing with pediatric cases, partial sternum depression up to 1/3 or approximately 1½ inches deep (4 cm) is preferred. In terms of compression rate, it is vital to maintain a steady pace of at least 100 compressions per minute for both adult and pediatric cases.
4. Modifications for Infants:
Pediatric CPR guidelines should also address the unique needs of infants under the age of one, particularly newborns. When providing CPR to a newborn, lay the infant on a firm surface and make sure the head remains in line with the body. Since their airways are tiny and more delicate than those of older children or adults, it's important to use gentle taps rather than strong back blows or head tilts when performing airway clearance techniques.
5. Dealing with Choking Hazards:
Choking emergencies can happen to individuals of any age group but are a common concern when dealing with young children and infants who often tend to put foreign objects into their mouths. For pediatric cases (children aged 1 to puberty), the Heimlich maneuver is usually recommended for choking incidents caused by solid objects lodged in their airways. However, for infants under one year, caregivers may need to use back blows followed by chest thrusts instead.
6. Proper Rescue Breathing Techniques:
In addition to performing chest compressions, rescue breaths are an integral part of pediatric CPR. While the compression-to-breath ratio changes compared to adult CPR, it is essential to ensure that rescue breaths are performed correctly for optimal results. When providing rescue breaths to children above one year old, each breath should be delivered over approximately 1 second. Use a seal by opening their airway with a head tilt and chin lift and placing your mouth over their nose and mouth securely. For infants under one year, perform gentle puffs of air into their nose and mouth instead.
Conclusion
When it comes to pediatric CPR, adapting techniques for younger individuals is crucial in order to maximise the chances of recovery during an emergency situation. By understanding the key differences between adult and pediatric CPR approaches and knowing how to adjust hand placement, compression depth, and rate, as well as addressing specific challenges like clearing airways or handling choking hazards peculiar to infant stages, caregivers can play a vital role in saving lives.
Remember that obtaining proper certifications, participating in regular refresher courses, and familiarising yourself with recommended guidelines from credible organisations like the American Heart Association (AHA) or American Red Cross are essential in maintaining an accurate knowledge base on pediatric CPR techniques. By doing so, you can have confidence in your ability to respond effectively during life-threatening situations involving young individuals.
 
                                                                                     
                                                                                     
                                                                                     
                                                                                     
                                                                                     
                                                                                     
                                                                                     
                                                                                    ![“Surprise Noises Can Feel Like Pain”: New Airport Rule Eases Travel for Autistic Passengers Emma Beardsley once dreaded going through airport security. “I used to panic every time they made me take my headphones off at security,” she recalls. “The noise and the unpredictability can be overwhelming.” Now, thanks to a new policy allowing noise-cancelling headphones to remain on during security checks, Beardsley says she can “travel more confidently and safely.”
In Australia, one in four people lives with a disability, yet the travel system has often failed to accommodate varied needs. Autism-inclusion advocates at Aspect Autism Friendly have welcomed the government’s updated guidelines that let autistic travellers keep their noise-reducing headphones on during screening, calling it a “major step” toward more accessible air travel.
Dr Tom Tutton, head of Aspect Autism Friendly, emphasises the significance of travel in people’s lives: it connects them with family, supports work and learning, and offers new experiences. But he notes the typical airport environment can be especially intense for autistic travellers:
“Airports are busy, noisy, random and quite confusing places … you’ve got renovations, food courts, blenders, coffee grinders, trolleys clattering … and constant security announcements. It’s really, really overwhelming.”
“What might be an irritation for me is something that would absolutely destroy my colleague [who has autism]. Surprise noises of a certain tone or volume can genuinely be experienced as painful.”
Under the new policy — now published on the Australian Government’s Department of Home Affairs website — passengers who rely on noise-cancelling headphones as a disability support may request to wear them through body scanners. The headphones may undergo secondary inspection instead of being forcibly removed.
Dr Tutton describes this adjustment as small in procedure but huge in impact: it removes a key point of sensory distress at a critical moment in the journey. Aspect Autism Friendly is collaborating with airports to ensure that all security staff are informed of the change.
For many autistic travellers, headphones aren’t just optional — they are essential to navigating loud, unpredictable environments. Until now, being required to remove them during security has caused distress or even deterred travel.
Aspect Autism Friendly also works directly with airports, offering staff training, autism-friendly audits, visual stories, sensory maps, and other accommodations. Their prior collaborations include autism-friendly initiatives with Qantas. Dr Tutton notes:
“Airports have become this big focus for us of trying to make that little bit of travel easier and better.”
He advises people planning trips for travellers with disabilities to consult airport websites ahead of time. Some airports already offer quiet rooms or sensory zones — Adelaide, for instance, provides spaces where travellers can step away from the noise and regroup before boarding.
Beyond helping autistic individuals, Dr Tutton believes that more accessible airports benefit everyone. “These supports help lots of other people too,” he says. “When people are more patient, kind and supportive, the benefits flow to everyone. We all prefer environments that are well-structured, sensory-friendly, predictable and easy to navigate.”](https://c3eeedc15c0611d84c18-6d9497f165d09befa49b878e755ba3c4.ssl.cf4.rackcdn.com/photos/blogs/article-1061-1759742013.jpg) 
                                                                                    