Children 1 to 8
Check for Responsiveness:
Shake or tap your child gently and shout to see if she moves or makes a sound. If she doesn't respond, send someone to call 911 and retrieve an automated external defibrillator (AED), if one is available. Do NOT leave your child to call 911 or retrieve an AED until you've performed CPR for at least two minutes.
Check for Breathing:
Carefully place your child on her back. If there's a chance that she may have a spinal injury, enlist the help of two people to move her to avoid twisting her head and neck. When she is lying down, open her airway by lifting up her chin with one hand and using your other hand to simultaneously push her forehead down. Look, listen, and feel for breathing by placing your ear close to your child's mouth and nose to feel and listen for breath -- simultaneously watch your child's chest for any movement.
Perform Rescue Breathing: If your child is not breathing, cover her mouth tightly with your mouth and pinch her nose closed. Keep her chin lifted and her head tilted back. Give two breaths (each breath should last about a second and should make the child's chest rise).
Place the heel of one hand on your child's breastbone, just below the nipples. Make sure your heel is NOT at the very end of the breastbone. Keep your other hand on the child's forehead and be sure to keep her head tilted back. Press down on your child's chest so that it compresses about one-third to one-half the depth of her chest and give 30 compressions. Be sure to let the chest rise completely each time. Your compressions should be fast and hard with no pausing. Count the compressions quickly ("1, 2, 3, 4, 5 ... 29, 30, off").
After finishing the 30 compressions, give the child two more rescue breaths and be sure that the chest rises. Continue with CPR (30 compressions followed by two breaths) for about two minutes. After roughly two minutes, if your child still doesn't have normal breathing, isn't coughing, and still isn't moving, leave your child to call 911. If an AED for children is available, use it now.
Continue performing CPR (30 compressions followed by two breaths) until help arrives or your child recovers.
If your child starts breathing again, help her into the recovery position. To do this, kneel next to her and place the child's arm that is closest to you straight out from the body. Take your child's other arm and help her tuck her hand against her opposite cheek (with the back side of her hand touching her cheek, palm facing you). Grasp and bend the child's far knee and while protecting your child's head with your other hand (on top of your child's hand and against her cheek), gently roll the child toward you by pulling the far knee over to the ground. Then tilt the child's head up slightly to open her airway and make sure that her hand is still tucked under her cheek to keep her head off the ground. Stay close to your child and continue checking her breathing until help arrives.