10/17/2026
This is the FOLLOW-UP to our demonstration of a child who becomes unresponsive after repeated cycles of 5 firm back blows and 5 abdominal thrusts.
Under the 2025 American Heart Association guidelines used in the USA, immediately stop the back blows and abdominal thrusts, safely lower the child onto their back on a firm, flat surface, and begin CPR, starting with chest compressions. Do not delay for a pulse check in this choking scenario.
Ensure 911 has been called and have someone bring an AED.
For a single rescuer:
1. Give 30 chest compressions.
2. Open the airway and look inside the mouth. If you see the object and can remove it, carefully do so. Never perform a blind finger sweep.
3. Attempt 2 breaths, whether or not an object was visible.
4. Immediately return to chest compressions, even if the breaths did not make the chest rise.
Continue cycles of 30 compressions and 2 breaths, checking for a visible object each time you open the airway to give breaths. Keep interruptions in compressions as short as possible.
Use the AED as soon as it is available and follow its prompts. Continue CPR until the child shows signs of life and breathes normally, trained responders take over, or you are physically unable to continue.
For two trained healthcare rescuers, the pediatric CPR ratio is 15 compressions to 2 breaths.
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