In two-rescuer pediatric CPR, what is the recommended compression-to-ventilation ratio?

• A. 5:1
• B. 15:2
• C. 30:2
• D. 30:4

Answer: (B)

In two-rescuer pediatric CPR, the goal is to balance high-quality chest compressions with timely ventilation to meet the child’s oxygen needs. Because children more often arrest from respiratory problems, delivering breaths is especially important. When two rescuers are present, one can keep compressions steady while the other provides breaths, allowing ventilation without long interruptions in chest compressions. The recommended cycle is 15 compressions followed by 2 breaths, and you keep repeating that cycle. Aim for about 100–120 compressions per minute, and switch roles after each 15-compression cycle (or as your team protocol specifies) to maintain both perfusion and oxygenation. Ratios like 30:2 are used when only one rescuer is available or in adults; other ratios would under-ventilate or disrupt the CPR flow in children.