The 2-thumb– encircling hands technique is recommended when CPR is provided by 2 rescuers.
The 2-thumb–encircling arms method is usually recommended whilst CPR is supplied with the aid of using 2 rescuers. Encircle the infant's chest with each arms; unfold your arms across the thorax, and location your thumbs collectively over the decrease 1/3 of the sternum. Forcefully compress the sternum together along with your thumbs.
For an infant, lone rescuers (whether or not lay rescuers or healthcare carriers) must compress the sternum with 2 arms positioned simply under the intermammary line. Do now no longer compress over the xiphoid or ribs. Rescuers must compress at the least one 1/3 the intensity of the chest, or approximately four cm (1.five inches).
For a child, lay rescuers and healthcare carriers must compress the decrease 1/2 of of the sternum at the least one 1/3 of the AP measurement of the chest or about five cm (2 inches) with the heel of one or 2 arms. Do now no longer press at the xiphoid or the ribs. There aren't any any records to decide if the 1- or 2-hand approach produces higher compressions and higher outcome (Class IIb, LOE C).
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