Safety Training Seminars

Heartsaver Infant 2-Person CPR

Bradycardia acls algorithm

When an infant stops breathing or their heart stops beating, every second counts. The Heartsaver Infant 2-Person CPR algorithm provides a structured approach that can save lives. This two-rescuer method is more effective than single-person CPR because it allows for better chest compressions and continuous airway management.

The American Heart Association developed this algorithm specifically for infants under 12 months old. Two trained rescuers working together can provide higher quality CPR with less fatigue. One person focuses on chest compressions while the other manages the airway and provides rescue breaths.

Understanding this algorithm isn’t just for healthcare professionals. Parents, childcare providers, and anyone who cares for infants should know these life-saving steps. The difference between knowing and not knowing could mean the difference between life and death.

Understanding Infant CPR Basics

Infant CPR differs significantly from adult CPR. An infant’s body is smaller, more delicate, and requires specific techniques. Their airways are narrower, their bones are softer, and their hearts beat faster than adults.

The compression-to-ventilation ratio for infant CPR is 15:2 when two rescuers are present. This means 15 chest compressions followed by 2 rescue breaths. For single rescuer infant CPR, the ratio changes to 30:2, but two-person CPR is preferred when possible.

Chest compressions should be at least one-third the depth of the chest, approximately 1.5 inches for most infants. The compression rate should be 100-120 per minute. These specifications ensure effective blood circulation without causing injury.

The Two-Person Advantage

Two-person CPR offers several critical advantages over single-rescuer CPR. The primary benefit is continuous, high-quality chest compressions. While one rescuer performs compressions, the other can prepare for ventilation, reducing interruptions.

Fatigue is a major factor in CPR effectiveness. Chest compressions require significant physical effort, and quality decreases as the rescuer tires. With two people, rescuers can switch roles every two minutes, maintaining compression quality throughout the resuscitation attempt.

Communication between rescuers also improves coordination. One rescuer can count compressions aloud while the other prepares to deliver breaths. This teamwork creates a more organized and effective response.

Step-by-Step Heartsaver Infant 2-Person CPR Algorithm

Initial Assessment and Setup

The first rescuer should quickly assess the infant’s responsiveness. Tap the infant’s shoulders gently and shout “Are you okay?” If there’s no response, check for breathing by looking for chest rise and fall for no more than 10 seconds.

If the infant is unresponsive and not breathing normally, the second rescuer should immediately call 911 and retrieve an AED if available. Position the infant on a firm, flat surface with the head in a neutral position.

Both rescuers should position themselves on opposite sides of the infant. The compressor should be at the infant’s side, while the ventilator should be at the infant’s head. This positioning allows for smooth transitions and minimal interruption.

Chest Compression Technique

The compressor should place two fingers (index and middle) on the breastbone, just below the nipple line. Avoid pressing on the xiphoid process at the bottom of the breastbone. Keep fingers straight and press down at least one-third the depth of the chest.

Allow complete chest recoil between compressions. This allows the heart to refill with blood. Minimize interruptions and maintain a steady rate of 100-120 compressions per minute.

Count compressions aloud to help coordinate with the ventilator. Use a steady rhythm: “1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15.”

Rescue Breathing Technique

After 15 compressions, the ventilator provides 2 rescue breaths. Create a seal over the infant’s nose and mouth using your mouth. For very small infants, you may need to cover only the nose.

Give 2 breaths, each lasting 1 second. Watch for chest rise with each breath. If the chest doesn’t rise, reposition the head and try again. Avoid excessive ventilation, which can cause gastric inflation and reduce the effectiveness of compressions.

After delivering 2 breaths, the compressor immediately resumes chest compressions. The cycle continues: 15 compressions, 2 breaths, repeat.

Role Switching and Continuation

Switch roles every 2 minutes to prevent fatigue and maintain compression quality. The switch should take less than 5 seconds to minimize interruption of chest compressions.

Continue CPR until emergency medical services arrive, the infant starts breathing normally, or you become too exhausted to continue. If an AED becomes available, follow the device’s prompts while continuing CPR as directed.

Common Mistakes to Avoid

One frequent error is incorrect hand placement. Fingers should be positioned on the breastbone, not over the ribs or stomach. Compressions over the wrong location are ineffective and can cause injury.

Another mistake is inadequate compression depth or rate. Compressions must be at least one-third the chest depth and delivered at 100-120 per minute. Shallow or slow compressions don’t generate enough blood flow to vital organs.

Poor coordination between rescuers can also reduce effectiveness. Practice clear communication and smooth role transitions. The ventilator should be ready to deliver breaths immediately after the 15th compression.

When to Use Heartsaver Infant 2-Person CPR

Use this algorithm when you have two trained rescuers and an unresponsive infant who isn’t breathing normally. The infant should be under 12 months old. For older children, use pediatric CPR protocols.

This technique is ideal in childcare settings, hospitals, and homes where multiple trained people are present. It’s also valuable during training scenarios where students can practice teamwork and coordination.

Remember that CPR should only be performed on someone who is unconscious and not breathing. If the infant is responsive or breathing normally, do not perform CPR. Instead, monitor the infant and seek medical attention if needed.

Training and Certification Requirements

Proper training is essential before attempting infant CPR. The American Heart Association Heartsaver course covers infant, child, and adult CPR techniques. This course includes hands-on practice with mannequins and instruction from certified trainers.

Certification should be renewed every two years to maintain current skills and knowledge. CPR guidelines are updated regularly based on new research and evidence. Staying current ensures you’re using the most effective techniques.

Practice is crucial for skill retention. Regular practice sessions help maintain muscle memory and confidence. Many training centers offer refresher courses and practice opportunities throughout the certification period.

Get Professional Training with Safety Training Seminars

Learning the Heartsaver Infant 2-Person CPR algorithm requires hands-on training with qualified instructors. We at Safety Training Seminars provide comprehensive American Heart Association certified courses that cover all aspects of infant CPR, including the two-person technique.

Our experienced instructors guide you through each step of the algorithm using state-of-the-art training equipment. You’ll practice on infant mannequins designed to provide realistic feedback, ensuring you develop the proper techniques and confidence needed in real emergencies.

Safety Training Seminars offers flexible scheduling with courses available every day of the week, including evenings and weekends. Our 70+ locations throughout California make it convenient to find training near you. We guarantee you’ll receive your American Heart Association certification card on the same day as your class.

As a woman-owned business established in 1989, we’ve trained thousands of individuals in life-saving techniques. Our commitment to excellence shows in our thousands of 5-star reviews and our lowest price guarantee in California. Whether you’re a parent, childcare provider, or healthcare professional, we can help you gain the skills and confidence to save lives.

Contact Safety Training Seminars today to schedule your Heartsaver CPR certification course. Don’t wait until an emergency happens—be prepared to act when every second counts.