Infant CPR (Under 1 Year): Step-by-Step

Infant CPR (under 1 year, excluding newborns in delivery) uses two fingers or the two-thumb encircling hands technique to compress about 1.5 inches deep at 100–120 per minute.

Quick facts
  • Depth: about 1.5 inches (one-third chest depth)
  • Single rescuer: 2-finger compressions, 30:2
  • Two rescuers: 2-thumb encircling hands, 15:2
  • Use pediatric AED pads (front-back) when available

Positioning the infant

Place the infant on a firm, flat surface. Keep the head in a neutral 'sniffing' position — do not hyperextend the neck.

Rescue breaths

Cover the infant's mouth and nose with your mouth. Give gentle puffs just enough to see the chest rise — over-inflating pushes air into the stomach.

Choking vs arrest

A conscious choking infant gets 5 back blows and 5 chest thrusts. An unresponsive infant starts CPR, checking the mouth for visible objects before each breath cycle.

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Frequently asked questions

Where do I put my hands?
Just below the nipple line on the breastbone. Use two fingers if alone or the two-thumb encircling-hands technique with a partner.
How hard should I push?
About 1.5 inches deep — roughly one-third the depth of the chest.
Can I use an AED on an infant?
Yes — use pediatric pads and place them front-and-back so they don't overlap.

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