If you are not alone with a child, do the following:

1. Tap their shoulder and talk loudly to the child to determine if they are responsive.
2. If the child does not respond and is not breathing (or is only gasping for breath), send the second rescuer to call 911 and get an AED.
3. Assess if they are breathing while feeling for the child’s carotid pulse (on the side of the neck) or femoral pulse (on the inner thigh in the crease between their leg and groin) for no more than 10 seconds.
4. If you cannot feel a pulse (or if you are unsure), begin CPR by doing 15 compressions followed by two breaths. If you can feel a pulse but the rate is less than 60 beats per minute, begin CPR. This rate is too slow for a child.
5. When the second rescuer returns, begin CPR by performing 15 compressions by one rescuer and two breaths by the second rescuer.
6. Use and follow AED prompts when available while continuing CPR until EMS arrives or until the child’s condition normalizes.