American Heart Association Training Center

7 Common Mistakes to Avoid in CPR

CPR compression training

CPR saves hundreds of thousands of lives yearly, but its success depends heavily on proper execution. Small mistakes can have significant consequences. This blog post highlights common Mistakes to Avoid in CPR, ensuring you’re as prepared as possible in a crisis.

1. Overlooking Safety Precautions

When encountering an emergency, your first instinct may be to rush to help immediately. However, it’s crucial to assess the scene for safety first. Look for potential dangers like electrical wires, chemical spills, or ongoing traffic. 

Remember, becoming a second victim helps no one and can complicate rescue efforts.

2. Incorrect Hand Placement

Proper hand placement is essential for effective chest compressions. Place the heel of one hand on the center of the chest along the sternum, and lay your other hand on top, interlocking your fingers. 

For maximum efficiency, keep your arms straight and shoulders directly above your hands. Incorrect placement decreases effectiveness and may cause unintentional harm to the patient’s ribs or internal organs.

3. Inadequate Compression Depth

Depth matters in CPR. The American Heart Association recommends compressions at least 2 inches deep but no more than 2.4 inches for adults. Achieving this depth ensures that the blood is adequately circulated to organs like the brain and heart. 

Too shallow, and you may not provide enough life-sustaining blood flow; too deep, and you risk causing internal injuries.

4. Ignoring Compression Rate

The correct rate of compressions is 100-120 per minute. This pace is necessary to maintain adequate blood flow while allowing enough time for the heart to refill between compressions. 

Mental Metronome: To help keep a steady pace, use the rhythm of a familiar song like “Stayin’ Alive” by the Bee Gees or “Another One Bites the Dust” by Queen, which aligns closely with the ideal compression rate.

5. Neglecting Full Chest Recoil

Allow the chest to fully recoil (return to its normal position) between compressions. This is vital as it allows the heart to refill with blood between compressions. 

Failing to do so can significantly reduce the effectiveness of your CPR efforts, as the heart cannot pump blood that it doesn’t receive.

6. Forgetting to Check for Breathing

Before starting CPR, quickly assess if the victim is breathing by checking for regular chest movements and listening for breath sounds for no more than 10 seconds. The absence of normal breathing, such as only gasping, indicates the need for immediate CPR.

Continual Monitoring: While performing CPR, periodically re-check the victim’s breathing status during any breaks in compressions to detect any changes or recovery.

Incorporating Rescue Breaths: If trained, integrate rescue breaths with compressions using a 30:2 compression-to-breath ratio. Ensure the airway is open by tilting the head and lifting the chin. Give 2 breaths, each over 1 second, ensuring that the chest rises with each breath. If the chest does not rise, reposition the airway before trying again.

Adapting Techniques: If unable to perform rescue breaths, continue with hands-on CPR, which is effective, especially in the initial minutes of a cardiac arrest, and recommended for bystanders who are not trained in full CPR.

7. Failing to Use Available Resources

An Automated External Defibrillator (AED) can be a game-changer in cases of sudden cardiac arrest. Always use an AED if one is available. Follow the device’s spoken instructions carefully, as it will guide you through the process, including when to perform compressions and stand clear while a shock is delivered.

Effective CPR is about more than just going through the motions; it’s about ensuring each action is performed correctly and safely. You can increase your effectiveness in emergencies by being mindful of these common mistakes and actively working to avoid them.

Stay informed and confident in your CPR skills by regularly attending refresher courses and staying updated with the latest guidelines from recognized authorities. 

Now that you know the most common mistakes to avoid in CPR – If you’re interested in learning more or need to certify or recertify, visit our CPR courses page or contact us directly. Your preparedness can make a life-saving difference.

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