OSCE CHECKLIST FOR PEDIATRIC BASIC LIFE SUPPORT
(AHA 2020 GUIDELINES)
Max. Marks - 20
Candidate Name: ________________________________
Date: ________________________________
Examiner Name: ______________________________
General Instructions:
Assess the candidate’s competency in Paediatric BLS for infants and children using
single-rescuer and two-rescuer techniques.
Mark each step as Satisfactory (S), Needs Improvement (NI), or Unsatisfactory (U).
I. Initial Assessment & Airway Management (Applicable for Single and Two
Rescuers)
SNO STEPS S NI U
(1) (0.5) (0)
1. Ensure scene safety and use
appropriate PPE
2. Check for responsiveness
3. Call for help/Activate emergency
response system
4. Assess airway patency
-Open airway using head-tilt/chin-lift
(if no cervical injury) or jaw-thrust (if
cervical injury suspected)
-Check for airway obstruction and
clear if needed
-For airway obstruction: Perform 5
back blows and 5 chest thrusts (infant)
or abdominal thrusts (child) if choking
is suspected.
5. Assess breathing and pulse for no
more than 10 seconds:
-Check carotid (child) or brachial
pulse (infant).
-Look for chest rise (breathing).
1
II. SINGLE-RESCUER CPR (INFANT & CHILD)
SNO STEPS S NI U
(1) (0.5) (0)
1. If no pulse or pulse <60 bpm with
poor perfusion, start CPR:
Infant: 2 fingers in the center of the
chest just below the nipple line.
Child: Heel of one hand on the lower
half of the sternum.
2. Perform 30:2 compression-to-
ventilation ratio:
Compress 1.5 inches (infant) or 2
inches (child) with full chest recoil.
3. Deliver effective breaths using mouth-
to-mouth or bag-mask device:
Ensure visible chest rise.
4. Continue CPR cycles until help arrives
or the child shows signs of life.
III. Two-Rescuer CPR (Infant & Child)
SNO STEPS S NI U
(1) (0.5) (0)
1. Rescuer 1 performs compressions;
Rescuer 2 manages airway and
breathing.
2. Perform 15:2 compression-to-
ventilation ratio:
Infant: Two-thumb encircling
technique.
3. Child: Heel of one hand or two hands
if large child.
4. Deliver effective breaths using a bag-
mask device:
Ensure visible chest rise.
5. Switch roles every 2 minutes to reduce
fatigue
2
IV. Use of AED (Automated External Defibrillator)
SNO STEPS S NI U
(1) (0.5) (0)
1. Power on the AED and follow
prompts.
2. Attach pads and ensure no one is
touching the patient.
3. Clear for analysis and shock if advised
4. Resume CPR immediately after shock
or if no shock advised.
V. Post-Resuscitation Care
SNO STEPS S NI U
(1) (0.5) (0)
1. Reassess pulse and breathing.
2. Provide supportive care until
emergency response arrives.
Overall Performance: [ ] Competent [ ] Needs Improvement [ ] Not Competent
Examiner Comments: ________________________________________________