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The CPR and Defibrillation Checklist: What to Do and What to Skip

CPR and Defibrillation: what is worth doing, what is worth avoiding, and when to stop and see a doctor.

Ben Halvorsen, MSc, CSCS Strength and conditioning coach 3 min read 1 views
The CPR and Defibrillation Checklist: What to Do and What to Skip

Keeping blood moving until a defibrillator or ambulance arrives. Survival from cardiac arrest depends almost entirely on what bystanders do in the first minutes.

Key takeaways

  • Compression depth, adult: 5-6cm
  • Rate: 100-120 per minute
  • Most useful single change: Call 999 first and put the phone on speaker.
  • Commonest mistake: Delaying compressions to check for a pulse.
  • See a doctor if any of the signs under "When to speak to a doctor" below apply to you.

Do

  • Call 999 first and put the phone on speaker
  • Push hard and fast in the centre of the chest
  • Send someone for a defibrillator while you continue

Do not

  • Delaying compressions to check for a pulse
  • Stopping because you are unsure you are doing it right

The numbers behind the list

Here are the figures the checklist is drawn from.

Published figures for CPR and Defibrillation
MeasureFigure
Compression depth, adult5-6cm
Rate100-120 per minute
If untrainedhands-only, continuous compressions
Defibrillatorssafe for untrained use; they will not shock unless needed
Agonal gaspingis not normal breathing; start CPR

If you change one thing

Call 999 first and put the phone on speaker. If you only change one thing, make it that.

Where to go next

When to speak to a doctor

Call 999 immediately for anyone unresponsive and not breathing normally, and start CPR straight away. This is a summary, not training — a practical first aid course is what builds the skill, and it is the single most useful thing most people can learn.

Where this comes from

How this page was put together

Every figure, recommendation and warning above is taken from the guidance named in Where this comes from. Nothing on this page is inferred, summarised or generalised beyond what those bodies publish: where they give a number, it is their number, and where they are silent, so are we. Pages are rebuilt whenever the underlying record changes. Sign-off by a named clinician, where it has happened, is shown at the top of the page along with the date.

Medical disclaimer

This article is general information, not medical advice. It cannot account for your own history, medication or circumstances. Always speak to a GP, pharmacist or another qualified health professional before making changes that affect your treatment, and never delay seeking medical advice because of something you have read here. In an emergency, call 999.

Spotted something wrong? Report an error on this page. We correct on the page and say what changed.

Ben Halvorsen

Strength and conditioning coach, and our resident sceptic on anything sold with a before-and-after photo. Writes the programmes he has actually run with beginners, not the ones that look impressive on paper.

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