What is the recommended compression to ventilation ratio for two-rescuer pediatric CPR?

• A. 15:2
• B. 30:2
• C. 5:1
• D. 10:2

Answer: (A)

In pediatric CPR with two rescuers, the emphasis is on delivering ventilation more frequently while still providing compressions at a high quality. The recommended ratio is 15 compressions followed by 2 breaths. This balance helps improve oxygenation and ventilation, which are often the limiting factors in pediatric arrests, where respiratory failure is a common cause.

Two rescuers work together: one maintains chest compressions at a steady rate, while the other provides breaths, typically with a bag-valve mask. After completing 15 compressions, they deliver 2 breaths, then resume compressions. This cycle minimizes interruptions and allows breaths to be provided more regularly than in a single-rescuer scenario, where the ratio is 30:2 and the rescuer must divide attention between compressions and ventilations.

Remember the basics: maintain a compression rate of about 100–120 breaths per minute, with high-quality depth, and switch roles every 2 minutes to prevent fatigue and maintain effectiveness.