when should rescuers switch positions during cpr

3 weeks ago 9
Nature

Rescuers should switch positions during CPR every 2 minutes or after about 5 cycles of 30 compressions and 2 breaths, whichever comes first. They should also switch immediately if the current rescuer shows signs of fatigue or if the quality of compressions begins to decline. The switch should be as quick and smooth as possible, ideally taking less than 5 seconds, to minimize interruptions and maintain effective blood flow to vital organs. Clear communication and prior agreement on signaling the switch are essential for a seamless transition.

Key Details:

  • Switch every 2 minutes or 5 cycles of compressions and breaths.
  • Switch sooner if the rescuer becomes fatigued or compressions lose quality.
  • Signs of fatigue include slowing compressions, decreased depth, heavy breathing, or visible physical strain.
  • The switch should take less than 5 seconds to avoid interrupting chest compressions.
  • Clear verbal cues should be used to prepare the next rescuer for the transition.

These guidelines come from authoritative sources such as the American Heart Association and expert CPR training providers and are designed to maintain high-quality CPR and improve patient survival outcomes.