Lay rescuers recognize arrest by unresponsiveness and absent or abnormal breathing such as gasping. Healthcare professionals may check a pulse for no more than 10 seconds.
Age-based comparison
Adult, child, and infant CPR essentials
Select an age group to compare rate, depth, compression-to-ventilation ratio, and current hand-technique guidance.
Conventional CPR with breaths is preferred for pediatric cardiac arrest because respiratory causes are common. If a lay rescuer cannot or will not give breaths, compression-only CPR is reasonable.
The 2025 pediatric BLS guideline eliminated the two-finger infant compression technique because it was ineffective at consistently achieving proper depth.
Major 2025 updates
What changed or received stronger emphasis
The 2025 AHA Guidelines were released October 22, 2025. These are selected high-yield BLS changes, not a substitute for the complete guideline.
Severe choking: adult and child
Use repeated cycles of 5 back blows followed by 5 abdominal thrusts, starting with back blows, until the object is expelled or the person becomes unresponsive.
Severe choking: infant
Use repeated cycles of 5 back blows followed by 5 chest thrusts. Do not use abdominal thrusts on an infant.
Infant compression technique
Use the heel of one hand or the two-thumb encircling-hands technique. The two-finger technique was removed.
Unified systems and overdose response
A universal Chain of Survival now spans pediatric and adult arrest, and opioid antagonists such as naloxone are incorporated into BLS pathways for suspected opioid emergencies.
Knowledge check