When switching roles in CPR you should minimize interruptions in chest compressions?

Summary

Read the full fact sheet

  • Always call triple zero (000) in an emergency. This fact sheet is not a substitute for proper CPR training by an accredited organisation.
  • Cardiopulmonary resuscitation (CPR) combines rescue breathing (mouth-to-mouth) and chest compressions to temporarily pump enough blood to the brain until specialised treatment is available.
  • Chest compressions are the priority in CPR. If you can't to do rescue breathing (mouth-to-mouth) chest compressions alone may still be life-saving. Try to minimise interruptions to chest compressions until help arrives.
  • CPR is a life-saving skill that everyone should learn. Courses are available.
  • CPR works on the principle of 30 chest compressions and 2 breaths of rescue breathing (mouth-to-mouth) – known as 30:2).
  • Automated external defibrillators (AEDs) can be used by anyone in an emergency and are easy to use. Voice prompts guide you through what to do.
  • The steps involved in CPR are known as DRSABCD (or ‘doctors ABCD’).

This page has been produced in consultation with and approved by:

When switching roles in CPR you should minimize interruptions in chest compressions?

When switching roles in CPR you should minimize interruptions in chest compressions?

This page has been produced in consultation with and approved by:

When switching roles in CPR you should minimize interruptions in chest compressions?

When switching roles in CPR you should minimize interruptions in chest compressions?

  • The type of pain felt in the abdomen can vary greatly.

  • Children may feel stomach pain for a range of reasons and may need treatment

  • The major sources of man-made air pollution in Melbourne are from motor vehicle emissions and wood heaters.

  • Severe allergic reactions (anaphylaxis) and asthma attacks need urgent emergency first aid. In an emergency, always call triple zero (000).

  • Anaphylaxis is a severe allergic reaction that requires urgent medical attention.

From other websites

Content disclaimer

Content on this website is provided for information purposes only. Information about a therapy, service, product or treatment does not in any way endorse or support such therapy, service, product or treatment and is not intended to replace advice from your doctor or other registered health professional. The information and materials contained on this website are not intended to constitute a comprehensive guide concerning all aspects of the therapy, product or treatment described on the website. All users are urged to always seek advice from a registered health care professional for diagnosis and answers to their medical questions and to ascertain whether the particular therapy, service, product or treatment described on the website is suitable in their circumstances. The State of Victoria and the Department of Health shall not bear any liability for reliance by any user on the materials contained on this website.

Two rescuer CPR is an effective way of delivering high-quality CPR to a victim in cardiac arrest.  Chest compressions are the most important aspect of CPR, however, when two trained rescuers are available the second rescuer can help with maintaining an open airway and delivering rescue breaths. After recognizing a victim is in cardiac arrest the second rescuer should immediately activate the emergency response system and get the AED. The first rescuer should remain with the victim to start CPR immediately, beginning with high-quality chest compressions.

After the second rescuer returns, the rescuers should use the AED as soon as it is available. The rescuers will then give compressions and breaths but should switch roles after every five cycles CPR or about every two minutes. As additional rescuers arrive, they can help with rescue breathing or use of the AED or defibrillator.

In two rescuer CPR, each rescuer has specific duties to perform

Rescuer One: Chest Compressions

Rescuer One should focus on performing high-quality chest compressions

  • Compress the chest at least 2 inches (5 cm)
  • Compress at a rate of at least 100 per minute
  • Allow the chest to recoil completely after each compression
  • Minimize interruptions in compressions
  • Use a compression-to-breath ratio of 30 : 2
  • Count compressions aloud & switch duties with the second rescuer every 5 cycles or about 2 minutes

Rescuer Two: Airway and Breathing

Rescuer Two can maintain an open airway and give rescue breaths, watching for chest rise and avoiding excessive ventilation or over-inflation. 

They should switch duties with the first rescuer every 5 cycles or about 2 minutes to ensure chest compressions remain effective. 

Effective Communication

Effective teams communicate continuously. If the compressor counts out loud, the rescuer providing breaths can anticipate when breaths will be given and prepare to give them efficiently to minimize interruptions in compressions. The two rescuers need to work together and communicate effectively in order to provide effective CPR. 

When switching roles you should minimize interruptions in chest compressions?

The rescuers should change positions every 5th cycle or approximately 2 minutes. Interrupting chest compressions interrupts circulation. During CPR blood flow is provided by chest compressions. Rescuers must be sure to provide effective chest compressions and minimize any interruption of chest compressions.

When should you minimize interruptions in compressions?

When the AED is connected, minimize interruptions of CPR by switching rescuers while the AED analyzes the heart rhythm. If a shock is indicated, minimize interruptions in CPR by resuming CPR as soon as possible beginning with chest compressions.

Should chest compressions be interrupted?

Since the 2005 update, resuscitation guidelines recommend a sequence of 30 compressions followed by a 5-s interruption for 2 ventilations, the standard 30:2 CPR. During CPR chest compressions are interrupted for various reasons including rescue breaths, rhythm analysis, pulse-checks and defibrillation.

How often should you switch chest compressions to avoid fatigue?

Rescuers performing chest compressions (CCs) should be rotated every 2 min or sooner if rescuers become fatigued.