How to Perform Hands-Only CPR

 by BeTheBeat
Hands-Only CPR
When a teenager or adult collapses suddenly, it can be a scary situation. While you can’t change what has already happened, you have the ability to act quickly and potentially save a life. Many people experience anxiety at the possibility of hurting the victim or doing something wrong, but CPR can save lives and the victim is better off with help than without.

In case you do see a teenager or adult suddenly collapse, these are the steps to follow:

 
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Step 1: Call 911

Call 911
Either call 911 if you are by yourself, or get someone else to call 911.
Phil B says: Dec 17, 2009. 9:24 AM
I took a CPR course many, many years ago before it was hands only.  I could never remember how many compressions interspersed with how many breaths, etc.  Still, shortly after I took the course some fairly young child saved the life of an adult by doing CPR after merely seeing it done on a TV drama. 

I remember cautions against too much compression, lest the sternum be cracked.  Still, it almost sounds like any CPR done within limits is better than nothing.
BeTheBeat (author) in reply to Phil BDec 22, 2009. 3:36 PM
"Still, it almost sounds like any CPR done within limits is better than nothing."

You're absolutely right. The AHA actually just released a statement about how CPR by an untrained bystander is better than not helping at all:

http://healthday.com/Article.asp?AID=634267
lemonie says: Dec 17, 2009. 11:52 AM
Why did you choose that hyperlink, rather than e.g. www.heart.org/ which has useful links like this on it?
www.heart.org/presenter.jhtml

L
l3owzaaaah in reply to lemonieDec 17, 2009. 1:27 PM
He/she did not claim that it had useful links, only that he/she had quoted something from that site and had left the source for evidence.
lemonie in reply to l3owzaaaahDec 17, 2009. 3:23 PM
The link is to a kids area where you can do things like earning points (not sure what for). The main page will help a person find a course in which they can learn CPR, it'd be a better link for anyone who would like to do so. I didn't find any CPR instruction in the kids area, if I missed it would you point me in the right direction?

L
BeTheBeat (author) in reply to lemonieDec 21, 2009. 6:37 PM
Be the Beat is a site created by the American Heart Association aimed at teens to demonstrate how anyone can save a life. The source referenced for this Instructable is the Hands-Only CPR video from the site, available here. We’ve also added a link to more information on the AHA’s official Hands-Only CPR site, handsonlycpr.org
lemonie in reply to BeTheBeatDec 22, 2009. 1:55 AM
I didn't find that when I was looking. What you just said there would be helpful to have in the Instructable, maybe copy & paste it into the last step?

L
or1gb1u3 says: Dec 17, 2009. 5:46 AM
I am glad some one posted this instuctable, BUT I DO NOT think anyone should be learning CPR hands only or otherwise from the internet. There are many community centers and places to learn CPR from professonals. 
The American Heart Association(AHA), and American Red Cross both have non-heathcare provider courses that are great for the lay rescuer. I implore everyone to seek proper training for this technique for there is a lot that can be harmed by improper hand placement, and non correct depth of compression.

my credentials on this subject. I AM AN AHA CPR INSTRUCTOR FOR THE HEALTHCARE PROVIDER LEVEL, as well as an AHA first aid instructor.
BeTheBeat (author) in reply to or1gb1u3Dec 21, 2009. 6:42 PM
It is still recommended that you take course in CPR to learn the procedure in depth and achieve the confidence to assist in an emergency situation. However, even knowing just the two steps could mean the difference between life and death for a victim. The web sites were created to offer an alternative to a full training course so as to enable anyone to save a life.
HarveyH44 says: Dec 17, 2009. 1:09 AM
I will admit that it's been many years since I took a course, and have never had to use it, but you left out a bunch of stuff.  Not sure how much good this hands-only CPR will do a victim anyway.

First, you should check for a pulse, to make sure you even need to be doing this.  If the heart is already beating, you don't want to mess it up.

Breathing is important, you need to check to see if the victim is breathing.  The whole point is to keep oxygen circulating through the body.  If you make sure there is a clear air-way, they might start on their own anyway.  There are other methods of resuscitation other than mouth-mouth.  You can also use a barrier, like thin cloth.

The position of your hands on the sternum is important, there is a tiny, triangle shaped bone at the base, which can be broken off pretty easily.  Use two fingers to measure up from the base.

100 compressions per minute seem like a really high rate, but it's been a long time. 
BeTheBeat (author) in reply to HarveyH44Dec 21, 2009. 6:42 PM
It is important to check to see if the victim is responsive or breathing normally before performing CPR, you are absolutely correct. You’ve also indicated that you are concerned a person might do more damage than good if you have not been properly trained in CPR. While the AHA does recommend that you take a course in CPR, on average, any attempt to provide CPR to a victim is better than no attempt to provide help. While it’s possible that you may fracture the victim’s ribs or sternum, the chance of surviving an out-of-hospital cardiac arrest is near zero for a victim who does not immediately receive high-quality chest compressions with minimal interruptions, followed by additional therapy within minutes (a defibrillating shock and/or more advanced care from EMS personnel).
verticalfuzz says: Dec 17, 2009. 3:32 PM
STOP!
This instructable is misleading and dangerous!

CPR should ONLY be administered if a victim's heart has STOPPED beating.
CPR stands for cardio pulminary resuscitation, and if given to someone WITH a pulse, can KILL them!

There are many precautionary steps that should be taken before administering CPR (such as making sure the victim in fact does NOT have a pulse), and there are many important pieces of information this instructable is missing, such as proper hand positioning, the depth of each compression, how  frequently to check the victim's vital signs (and how to do so)

PLEASE, do not attempt cpr if you do not know what you are doing, because you may cause someone who DOES know CPR to leave the scene. If you are not CPR certified, the good samaritan laws will not protect you, and you could be prosecuted in the court of law!
BeTheBeat (author) in reply to verticalfuzzDec 21, 2009. 6:40 PM
You mentioned that there are many pieces of information that were left out from the Instructable. Often times, people won't do anything when someone goes into cardiac arrest because they are afraid they may hurt the victim or they don't know what to do. By simplifying the CPR process, the AHA hopes to inspire more people to jump in and save a life in an emergency situation. That said, they still recommend you to take a training course in CPR -- the more practice you get, the more confident you'll be when a real emergency hits. As mentioned in Step 3, Hands-Only CPR should not be used for anyone you didn’t see collapse. In that case, it is recommended that you use conventional CPR.
keng in reply to verticalfuzzDec 17, 2009. 9:51 PM
"...the good samaritan laws will not protect you...."  In Missouri they most certainly will.  I spoke to a law school friend of mine about this very thing and he assured me that the GS laws will cover you if you don't know cpr and try to give it.
BeTheBeat (author) says: Dec 21, 2009. 6:37 PM
Thanks for the feedback everyone. We’d like to address your questions and concerns one by one.
l3owzaaaah says: Dec 17, 2009. 1:28 PM

Why is everyone so scared of breathing into someone elses mouth anyways?

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