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CPR chest compression depth cm adults children infants 2025 guidelines

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Here is a concise summary of CPR chest compression depths by age group, per current guidelines:

CPR Compression Depth (by Age)

PatientDepthNotes
Adults5–6 cm (≈2–2.4 in)Not >6 cm; rate 100–120/min
Children (1 yr → puberty)≥5 cm (~1/3 AP chest depth)~2 in
Infants (<1 year)≥4 cm (~1/3 AP chest depth)~1.5 in

Key Points

  • Adults: Target 5–6 cm. Going deeper than 6 cm increases injury risk without survival benefit. — Tintinalli's Emergency Medicine
  • Children: At least 5 cm, or at least one-third the anterior-posterior (AP) chest depth — whichever is deeper. — Miller's Anesthesia
  • Infants: At least 4 cm, or at least one-third the AP chest depth. — Miller's Anesthesia
  • Rate: 100–120 compressions/min for all ages
  • Allow full chest recoil between compressions; minimize interruptions

2025 Pediatric Update (AHA/AAP)

The 2025 AHA/AAP Pediatric BLS guidelines maintained these depth targets but eliminated the 2-finger technique for infant compressions — now recommending the 1-hand or 2 thumb-encircling hands technique, which is more effective at achieving proper depth.
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