AED Protocol for Unresponsive Child (7 Years): Step-by-Step Pediatric BLS/ACLS

For an unresponsive, non-breathing 7-year-old, follow the Pediatric BLS/ACLS sequence immediately.

Immediate Steps

1. Scene safety.
2. Check responsiveness (tap/shout). No response → shout for help, activate EMS.
3. Position: Supine on firm, flat surface.
4. Airway: Head-tilt/chin-lift (jaw thrust if trauma suspected).
5. Breathing check: Look/listen/feel ≤10 seconds. Absent/agonal → start CPR.
6. CPR (1 rescuer): 30 compressions (1/3 chest depth, ~5 cm, 100–120/min) : 2 breaths. 2 rescuers: 15:2.
7. AED arrival: Power on. Apply pediatric pads (if <8 yr/<25 kg) or adult pads (anteroposterior if pediatric unavailable).
8. Clear & analyze: No one touching. Follow prompts.
9. Shock advised: Clear → deliver shock → immediate CPR 2 min → reanalyze.
10. No shock: CPR 2 min → reanalyze.
11. Continue until ALS arrives or child moves/breathes.

Pediatric Pad Placement

• Anterior-posterior: one center chest, one center back (preferred for small children).
• If adult pads only: same AP placement; do not cut.

Training is essential. Take a certified PALS/BLS course—this summary is not a substitute for hands-on practice.