How to Perform Hands-Only CPR: A Step-by-Step Guide

Key Takeaways

  • Place the heel of one hand on the lower half of the breastbone with your other hand on top, interlocking fingers and keeping arms straight to deliver compressions at least 2 inches deep.
  • Compress at a rate of 100-120 beats per minute—roughly the tempo of "Stayin' Alive" by the Bee Gees—allowing complete chest recoil between compressions.
  • Immediate bystander intervention can double or triple survival rates from cardiac arrest, with brain damage beginning after just 4-6 minutes without oxygen.
  • This technique is most effective for witnessed sudden collapse in adults, while drowning victims, overdoses, and children under 8 require traditional mouth-to-mouth resuscitation.
  • When an AED arrives, follow voice prompts to analyze rhythm and deliver shocks if advised, then immediately resume compressions for 2 minutes before the next analysis cycle.

In an emergency situation where someone has collapsed or become unresponsive, it's crucial to act quickly and perform hands-only CPR. This simple technique can help save a life while waiting for professional medical help to arrive. In this guide, we'll walk you through the steps of performing hands-only CPR.

Before starting, it's important to note that you should call 911 immediately if a person collapses or becomes unresponsive. If you're not alone, have someone else call 911 while you begin hands-only CPR.

Step 1: Check Responsiveness

Start by tapping the person's shoulder and shouting, "Are you OK?" Look for normal breathing. If there is no response, begin hands-only CPR.

Note: Hands-only CPR should not be used for adults whose cardiac arrest is due to drug overdose, near-drowning, or an unwitnessed cardiac arrest. In these cases, perform conventional CPR, which includes a combination of chest compressions and rescue breathing.

Step 2: Perform Chest Compressions

  1. Place the heel of your hand on the center of the person's chest.

  2. Place the heel of your other hand on top of your first hand, lacing fingers together.

  3. Keep your arms straight and your shoulders directly over your hands.

  4. Push hard and fast, compressing the chest at least 2 inches.

  5. Let the chest rise completely before pushing down again.

  6. Compress at a rate of at least 100 times per minute.

For a visual demonstration of hands-only CPR, watch this video from the American Heart Association.

How to Perform Hands-Only CPR: A Step-by-Step Guide

Step 3: Know When to Stop

Continue performing hands-only CPR until one of the following occurs:

  • The person starts breathing normally.

  • A trained responder or emergency help takes over.

  • You become too exhausted to continue.

  • An automated external defibrillator (AED) is available for use.

Step 4: Use an AED as Soon as One Is Available

If an AED is available, follow these steps:

  1. Turn on the AED. It will provide step-by-step instructions.

  2. Wipe the chest dry and attach the pads.

  3. Plug in the connector, if needed.

  4. Ensure no one is touching the person and say "Clear" to alert others to stay back.

  5. Push the "Analyze" button, if necessary.

  6. If a shock is advised, push the "Shock" button.

  7. Resume compressions and follow the AED prompts.

Remember, the most important thing is to act quickly and perform hands-only CPR until help arrives. Your actions could make the difference in saving someone's life. For more information on hands-only CPR and other life-saving techniques, visit the American Red Cross or the American Heart Association websites.

The Bottom Line

The key to saving a life during cardiac arrest is calling 911 immediately and starting hard, fast, uninterrupted chest compressions in the center of the chest until help arrives. Don't hesitate—imperfect CPR is better than no CPR, and you cannot make the situation worse. If you have questions about emergency response techniques or first aid training, Doctronic can provide personalized guidance.

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