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Daycare is the setting where paediatric technique matters most and where general CPR training is least sufficient. Infant compressions use two fingers or two thumbs rather than the heel of the hand, and an infant's head must not be tilted as far back as an adult's because over-extension closes the airway. Practicing on an adult manikin does not prepare anyone for either.
Choking is the dominant emergency in this age group and the response differs by age. Back blows and chest thrusts for an infant, abdominal thrusts for a child old enough, and the transition point between them is something staff should be confident about rather than working out under pressure. Food, small toys and detached parts are the recurring causes, and prevention is as much of the training as response.
Train every adult who is ever alone with children, including part-time staff, kitchen staff and regular volunteers. Ratios mean a single adult is frequently supervising several children, and the person present during an incident is often not the designated first aider. Coverage across every session and every room matters more than depth in a few people.
Updated for 2026. Updated in 2026. What follows is the position as it stands today.
No certificate is issued on online coursework alone, which is worth checking against any provider advertising a fully online card.
On timings: the CPR/AED course runs 275 minutes (4 hours 35 minutes) in the classroom, including a 10 minute skills examination and a 20 minute written examination.
Reviewed by Jackie Stern, Lifeguard Instructor, Firefighter and EMT. Jackie Stern has taught lifeguarding for more than 20 years and works as a firefighter, EMT and swim instructor. She reviews course content, prerequisites and rescue standards against current certification requirements.