Resuscitation Council UK First Aid Changes in 2026

Watch Our Lead Trainer Explain the Changes

Our lead trainer Jo-Anne Moore talks you through the changes in this short video, including the two-thumb technique for baby resuscitation and the Breathing, Behaviour and Body Colour (BBB) Triangle for recognising a seriously unwell child.

You can also watch the video on Facebook.

Baby Resuscitation and Choking

The 2025 Paediatric guidance recommends the two-thumb encircling technique for infant chest compressions during cardiopulmonary resuscitation (CPR). It also describes this technique for chest thrusts when an infant is choking.

• Use age-appropriate techniques with the training equipment.
• For infant choking, the guidance distinguishes chest thrusts from CPR compressions.
• Learn and practise the sequence with your trainer, rather than rely on a short article.

The BBB Triangle helps organise observations about a child’s breathing, behaviour and body colour. Jo-Anne explains it in the video; your trainer can help you understand how to use it alongside your other First Aid skills.

Calling for Help and CPR Ratios

Call for help early. The adult guidance says to call 999 promptly when someone is unresponsive, then assess breathing while waiting for the call to be answered. The call handler can guide your next steps.

For Paediatric CPR, use 15 compressions to 2 breaths if you have specific Paediatric Basic Life Support training; otherwise, use 30 to 2. The Paediatric sequence includes five initial rescue breaths.

These are the current recommended ratios. The 2025 guidance also updates infant techniques, as described above. In an emergency, follow your current training and the call handler’s instructions.

Adult CPR on a Soft Surface

The RCUK says CPR is most effective on a firm surface, but rescuers should not move someone from a soft surface, such as a bed, to the floor before starting CPR. Starting promptly matters.

Abnormal breathing can be difficult to recognise, including after exercise. If someone is unresponsive, do not assume unusual breathing means they are well. Practical training helps you recognise the signs and respond.

Keeping Your First Aid Knowledge Up to Date

The Health and Safety Executive (HSE) strongly recommends annual refresher training for workplace First Aiders. Our online Annual Refresher course helps previous learners revisit First Aid topics at their own pace.

Your existing certificate keeps its original expiry date when guidelines change. Complete the appropriate qualification or requalification course when renewal is due; an online refresher does not renew your certificate.