Adult Chest Compressions
The universal rate for chest compressions in all cardiac arrest victims (adult, child, and infant) is 100 to 120 per minute. Similarly, the compression-to-ventilation ratio for a single rescuer is 30:2 across all age groups. For two-rescuer CPR, the compression-to-ventilation ratio for infants and children changes to 15:2, while adults remain at 30:2.
Guidelines for High-Quality Chest Compressions
- Perform compressions at a rate of 100 to 120 compressions per minute.
- Compress the chest at least 2 inches (5 cm) deep.
- Allow the chest to fully recoil after each compression.
- Minimize interruptions to ensure effective blood circulation.
Important: Do not move the victim unless they are face down, in immediate danger, or lying on a soft or unstable surface (e.g., a bed or bathtub).
Performing Chest Compressions
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- Ensure the victim is face up on a firm, flat surface.
If you need to move or roll them over, do so with extreme caution, especially if a head or neck injury is suspected.
- Position yourself correctly:
Stand or kneel at the victim’s side.
- Hand Placement and Body Positioning:
- Place the heel of one hand in the center of the victim’s chest, on the lower half of the breastbone (sternum).
- Position the second hand on top of the first, interlocking your fingers.
- Straighten your arms and position your shoulders directly over your hands for maximum force.
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- Begin Chest Compressions:
- Perform compressions at a rate of 100 to 120 per minute (think of the rhythm of the song “Staying Alive”).
- Push hard and fast, at least 2 inches (5 cm) deep, ensuring you press straight down on the breastbone.
- At the end of each compression, allow the chest to fully recoil before beginning the next compression.