Child/Infant Mouth-to-Mask Ventilation

In one-rescuer CPR, breaths should be supplied using a pediatric pocket mask, if available.

1. Deliver 30 (or 15 if there are two providers) high-quality chest compressions while counting out loud.
2. Seal the mask against the child’s face by placing four fingers of one hand across the top of the mask and the thumb of the other hand along the bottom edge of the mask (Figure 48).

If two people are present and a bag-valve-mask device (BVM) is available, the second rescuer is positioned at the victim’s head while the other rescuer performs high-quality chest compressions.

1. Deliver 15 high-quality chest compressions while counting out loud.
2. The second rescuer holds the BVM with one hand using the thumb and index finger in the shape of a “C” on one side of the mask to form a seal between the mask and the face (Figure 49), while the other fingers open the airway by lifting the child’s lower jaw.