Hands-only CPR is a simplified version of CPR that involves chest compressions without rescue breaths. It is recommended for use by people who see a teen or adult suddenly collapse in an "out-of-hospital" setting (such as at home, at work, or in a park) . Hands-only CPR can be just as effective as conventional CPR with breaths in the first few minutes during an out-of-hospital sudden cardiac arrest for an adult victim. The American Heart Association recommends the following steps for hands-only CPR:
- Check the scene and the person. Check to make sure the scene is safe, tap the person on the shoulder to see if theyre OK, and look for signs of rhythmic, normal breathing.
- Call 911 for assistance. If theres no response from the victim when asked if he or she is OK, call 911, or ask a bystander to call for help.
- Begin compressions. If the person is unresponsive, perform hands-only CPR. Ensure the person is on their back on a firm, flat surface. Kneel beside the persons chest. Place the heel of one hand over the center of the persons chest, between the nipples. Place your other hand on top of your first hand. Keep your elbows straight and position your shoulders directly above your hands. Use your upper body weight (not just your arms) as you push straight down on the persons chest at least 2 inches deep. Push hard and fast, at a rate of 100 to 120 compressions per minute.