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When someone suddenly collapses and stops breathing, it can feel overwhelming, but knowing what to do can make all the difference. Hands-only CPR is a simple, life-saving method that uses chest compressions without breaths to keep blood flowing to the brain and heart until help arrives. You place the heel of your hand on the center of the chest and push hard and fast, and anyone can do it, no special training is needed. Many people wonder how long to continue or when it’s okay to stop, but understanding the right moment to pause can help you stay confident and focused during an emergency.

Also Read: Hands-Only CPR vs. Traditional CPR: Key Differences

Signs That Indicate You Should Stop Pushing

Sometimes it’s tough to know when to pause CPR, but a few clear signs can guide you. Here’s when you should stop pushing and let the next step take over.

  1. Victim Shows Signs of Life: If the person starts breathing normally, moving, or even coughing, it’s a good sign your efforts are working. At this point, stop compressions and let their body take over while you keep watching closely.
  2. Professional Help Arrives: When trained responders or EMS step in, it’s time to let them take charge. They have the equipment and skills to provide advanced care, so you can step back knowing the victim is in capable hands.
  3. You Are Physically Unable to Continue: CPR can be exhausting, and if you become too tired, hurt, or the scene is unsafe, it’s okay to stop. Your safety matters too, and you can’t help effectively if you’re not well enough to continue.
  4. An AED Is Ready: Once an AED is brought to the scene and set up, pause compressions so it can be used right away. The device will guide you step by step and may deliver a shock that can restart the heart.

Situations Where You Should Not Stop Pushing 

It’s easy to feel unsure during CPR, but some moments call for you to keep going no matter what. Here are the situations where you should stay focused and continue pushing.

  1. A Bystander Without Training Offers to Help: If someone nearby wants to step in but doesn’t know how, you should keep going. You can guide them to call 911, bring an AED, or clear the area while you continue compressions.
  2. A Person Shows Occasional Gasps: Sometimes a person in cardiac arrest may make sudden gasps that sound like breathing, but they aren’t real breaths. Keep pushing because their body still needs your help to move blood and oxygen.
  3. Signs of Life Disappear After a Pause: If the person briefly shows movement or breathing but then stops again, you should restart compressions right away. Their heart may still be struggling, and your efforts can make the difference.
  4. An AED Is Available but Not Ready: When an AED is nearby but not set up yet, don’t wait. Continue compressions until it’s fully turned on, attached, and ready to analyze the heart rhythm.
  5. Emergency Medical Services Have Arrived but Have Not Taken Over: Even when EMS gets to the scene, you should keep pushing until they are prepared to step in. Every second of CPR matters, so don’t stop until they are ready to continue care.
  6. The Scene Is Momentarily Distracting but Not Unsafe: If something minor pulls your attention, like people gathering or noise in the area, stay focused on the victim. As long as you’re not in danger, your hands should keep working on compressions.

Myths vs. Facts About Stopping CPR

It’s easy to hear mixed advice about when to stop CPR, but not all of it is true. Let’s clear up some common myths with the real facts you should know.

1. Myth: Once EMS arrives, you can stop right away.

    • Fact: Don’t stop until trained responders are ready to take over. Every second matters.

    2. Myth: Using an AED means you don’t need CPR anymore.

    • Fact: CPR should continue until the AED is set up and tells you to pause.

    3. Myth: If you feel too tired, you have to keep pushing no matter what.

    • Fact: Your safety and strength matter. If you can’t continue, switch with someone else or stop if you’re at risk.

    4. Myth: CPR should end the moment you notice any movement.

    • Fact: Only stop when the person is breathing normally, coughing, or showing clear signs of life.

    Hands-Only CPR: Push Until It Truly Counts

    Hands-Only CPR can have a life-saving impact when an adult suddenly goes into cardiac arrest. Keep pressing on the chest without stopping unless the person regains consciousness, emergency help arrives, you are too tired to continue, or the AED signals you to pause. Consistent, firm compressions help the heart keep blood moving, and every push matters. Acting quickly and with confidence can make all the difference.

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    FAQs

    Can I do Hands-Only CPR on a child or infant?

    Hands-Only CPR is mainly for adults, because children and babies usually need rescue breaths too. For kids and infants, follow the standard CPR guidelines that include both compressions and breaths.

    What if I’m alone and too tired to continue compressions?

    If you get too tired, it’s okay to pause for a few seconds, but try to push as long as you can. If someone else is nearby, ask them to take over right away.

    Do I need to remove clothing to start CPR?

    Yes, quickly expose the chest so your hands are in the right spot. Don’t worry about small delays; start compressions as soon as you can.

    Is it okay to use CPR if the victim is lying on a soft surface?

    Hard surfaces are best for compressions because they let your pushes work properly. If the person is on a soft bed or couch, try to move them to the floor before starting.

    Can I get hurt while giving Hands-Only CPR?

    It’s possible to feel sore, especially in your hands, wrists, or shoulders, but serious injuries are rare. Focus on firm, steady compressions and take breaks if you need to.