Step-by-Step Bystander CPR Instructions: Empowering You to Save Lives

Bruse Rockwell
3 min readJul 15, 2023

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Cardiac arrest can happen anytime, anywhere, and being prepared to respond with lifesaving techniques like cardiopulmonary resuscitation (CPR) is crucial. As a bystander, your timely intervention can make a significant difference in the outcome for someone experiencing cardiac arrest. In this blog post, we will provide you with step-by-step instructions on how to perform CPR, equipping you with the knowledge and confidence to act decisively during an emergency.

Step 1: Assess the Scene and Ensure Safety

Before approaching the victim, it is essential to assess the scene and ensure your safety. Look for any potential hazards or risks that could pose a danger to you or the victim. If it is safe to do so, proceed to the next step.

Step 2: Check Responsiveness

Gently tap the victim and shout, “Are you okay?” to check for responsiveness. If there is no response and you suspect a cardiac arrest, immediately activate the emergency medical services by calling the local emergency number (e.g., 911) or asking someone nearby to make the call.

Step 3: Open the Airway

Place the victim on their back on a firm surface. Tilt their head back slightly, lifting the chin to open the airway. This helps ensure a clear passage for air to enter and exit the lungs.

Step 4: Check for Breathing

Position your ear near the victim’s mouth and nose while looking at their chest for signs of breathing. Watch for chest rise and listen for the sound of exhaled breath. Do this for no more than 10 seconds. If the victim is not breathing or only gasping, proceed to the next step.

Step 5: Begin Chest Compressions

Place the heel of one hand on the center of the victim’s chest, slightly above the lower half of the breastbone. Place your other hand on top of the first hand, interlacing the fingers. Keep your arms straight and position your shoulders directly above your hands.

Press down hard and fast, aiming for a depth of at least 2 inches (5 centimeters) for adult victims and about 1.5 inches (4 centimeters) for child victims. Perform chest compressions at a rate of around 100 to 120 compressions per minute. Allow the chest to fully recoil between compressions.

Step 6: Provide Rescue Breaths

After 30 compressions, give two rescue breaths. Ensure a good seal by pinching the victim’s nose closed and covering their mouth with yours. Give two slow breaths, each lasting about one second, and watch for the chest to rise. If the chest does not rise, reposition the head and attempt another rescue breath.

Step 7: Continue CPR Cycles

Continue cycles of 30 chest compressions followed by two rescue breaths until professional help arrives, an automated external defibrillator (AED) becomes available, or the victim starts to show signs of life. If you are unable or unwilling to perform rescue breaths, continue performing hands-only CPR by focusing on chest compressions alone.

Conclusion:

Being prepared to perform CPR can be the difference between life and death for someone experiencing cardiac arrest. By following these step-by-step instructions, you have the power to save lives. Remember, even if you are unsure or lack formal training, any attempt at CPR is better than no attempt at all. Encourage others to learn CPR and become confident in their ability to respond to emergencies. Together, we can create a community of lifesavers ready to make a positive impact during critical moments.

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Bruse Rockwell

Trainer of CPR Safety Services teaching how to save lives. Courses approved by AHA. Helps healthcare professionals in CPR and First Aid Certification & Renewal.