The primary difference between chest compressions on an adult and a small child is related to the depth and technique of compressions. For small children (typically under 8 years old), you should use one hand for compressions, while for adults, you generally use both hands.
Specifically:
- Depth of Compressions: You should compress to a depth of about 1.5 inches (4 cm) for children, while for adults, the depth should be about 2-2.4 inches (5-6 cm).
- Technique: For a small child, you can use one hand or two fingers (for infants) for chest compressions, while for adults, two hands are typically used.
Therefore, the statement that most accurately reflects the difference is that we may use one hand instead of two in order to compress the small child's chest. This approach takes into account the size and structure of the child's chest compared to that of an adult.