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How to do High-performance CPR

Writer: Laneisha ByrdLaneisha Byrd

Updated: May 10, 2024

High-performance CPR is a critical aspect of resuscitation efforts for cardiac arrest victims. It involves several key qualities that can significantly improve the chances of survival for those experiencing cardiac arrest.

Here's how to do High Performance CPR


High Performance CPR


By understanding and implementing these qualities, rescuers can deliver high-quality CPR that makes a difference in saving lives.


Step #1 - Minimize time off the chest


High-performance CPR emphasizes delivering chest compressions as frequently as possible without interruptions. This helps maintain blood flow and oxygenation to vital organs, ensuring that the patient receives the necessary support until emergency responders arrive.


Step #2 - Achieve high chest compression fraction


The chest compression fraction refers to the proportion of time a first aider spends performing chest compressions during CPR. High-quality CPR aims for a chest compression fraction of at least 60%, with a target of 80% or more in some cases. This ensures that the patient receives consistent and effective CPR throughout the resuscitation process.



Step #3 - Maintain appropriate compression rate


High-performance CPR requires chest compressions at a rate of 100 to 120 compressions per minute, as recommended by international resuscitation guidelines. This rate ensures that blood flow is maintained and oxygenation is sustained, increasing the chances of survival for the patient.


Step #4 - Ensure proper compression depth


The compression depth should be appropriate for the patient's age or size. For adults and adolescents, the compression depth should be between 2 to 2.4 inches (5 to 6 cm), while for prepubescent children, it should be 2 inches (5 cm), and for infants, 1.5 inches (4 cm). Proper compression depth ensures that the chest compressions are effective and provide the necessary support to the patient.


Step #5 - Allow for full chest recoil


After each compression, the chest should be allowed to recoil fully, ensuring that the chest is not compressed excessively between compressions. This helps maintain the effectiveness of the chest compressions and allows for proper blood flow.


Step #6 - Minimize pauses


High-performance CPR aims to minimize pauses between compressions, as this can reduce the effectiveness of the CPR. By maintaining a consistent and uninterrupted flow of chest compressions, rescuers can ensure that the patient receives the necessary support until emergency responders arrive.


Additional High-Performance Factors

  • Rotate Rescuers: Switch rescuers providing compressions every 2 minutes to avoid fatigue and shallow depth.

  • Use Metronome/Feedback: Leverage a metronome or real-time feedback device to maintain proper rate and depth.

  • Be Prepared: Know where the nearest AED is located and have someone retrieve it immediately.


High-Performance Makes the Difference


Even a short period of high-quality CPR can bridge the life-saving gap until defibrillation or advanced care is available. Committing to high-performance standards vastly improves cardiac arrest survival outcomes. Get trained today - you could help save a life tomorrow.

 
 
 

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