Final answer:
In the absence of breathing and pulse, one must start cardiopulmonary resuscitation (CPR) on the collapsed child immediately, with chest compressions at least 5 cm deep at a rate of 100 compressions per minute.
Step-by-step explanation:
If you witness the collapse of a child who has no breathing and no pulse, the next step is to begin emergency procedures such as cardiopulmonary resuscitation (CPR). By placing the flat portion of one hand on the sternum, in the area between T4 and T9, apply pressure to manually compress the heart to push blood into the pulmonary and systemic circuits.
This process is critical, especially for brain function, as irreversible damage and death of neurons can occur within minutes without blood flow. The current standard for chest compressions is at least 5 cm deep at a rate of 100 compressions per minute, which can be timed to the beat of the song "Staying Alive."
CPR should be performed until the child regains spontaneous contraction or until a healthcare professional can take over.