Top Mistakes in CPR Compressions and How to Fix Them
Posted by Sydney Pulse, APRN at 3:51 am 0 Comment Print
Cardiopulmonary resuscitation (CPR) is a life-saving technique that significantly increases survival rates in cardiac arrest situations. However, many people make critical errors during CPR compressions, reducing its effectiveness. Understanding these common mistakes and how to fix them can make a difference in an emergency.
1. Incorrect Hand Placement
Proper hand placement is crucial for effective chest compressions. Many people place their hands too high or too low on the chest, which can lead to ineffective compressions and potential injury to the patient.
How to Fix It:
-
Place the heel of one hand on the center of the chest, specifically on the lower half of the sternum.
-
Interlock your fingers and keep your elbows straight.
-
Ensure your shoulders are directly above your hands for optimal force.
2. Inadequate Compression Depth
CPR compressions must be deep enough to circulate blood effectively. Shallow compressions fail to generate enough pressure to keep the blood moving.
How to Fix It:
-
Compress the chest at least 2 inches (5 cm) deep for adults.
-
Allow full chest recoil between compressions to maximize blood flow.
-
Use a firm, flat surface to avoid absorption of force into soft surfaces like a bed or couch.
3. Incorrect Compression Rate
The recommended compression rate is 100-120 compressions per minute. Many rescuers either go too fast or too slow, reducing the effectiveness of CPR.
How to Fix It:
-
Use a metronome or follow the rhythm of songs like “Stayin’ Alive” by the Bee Gees.
-
Count aloud or practice with a CPR training device that provides feedback.
-
Stay consistent and avoid rushing through compressions.
4. Not Allowing Full Chest Recoil
Failing to allow the chest to fully recoil between compressions decreases the return of blood to the heart, reducing circulation.
How to Fix It:
-
Release pressure completely after each compression without lifting your hands off the chest.
-
Avoid leaning on the chest to ensure full recoil.
-
Monitor your hand position and technique to ensure correct execution.
5. Pausing Too Frequently or for Too Long
Unnecessary pauses during CPR can reduce survival chances. Interruptions decrease blood flow and the effectiveness of resuscitation efforts.
How to Fix It:
-
Minimize pauses by preparing in advance (e.g., keeping an AED nearby and working with a team if available).
-
Only stop compressions briefly when using an automated external defibrillator (AED) or performing rescue breaths.
-
Practice seamless transitions in team-based CPR situations.
6. Performing CPR with Bent Elbows
Bending your elbows while performing compressions reduces the amount of force applied to the chest, making compressions less effective.
How to Fix It:
-
Keep your arms straight and use your upper body weight to push down.
-
Position yourself directly over the victim to maintain proper form.
-
Engage in regular training sessions to reinforce good habits.
7. Not Switching Rescuers When Fatigued
CPR is physically demanding, and fatigue can set in quickly, leading to weaker compressions. If performing CPR alone, the quality of compressions can decline within minutes.
How to Fix It:
-
If possible, switch rescuers every 2 minutes while maintaining minimal interruption.
-
Communicate with other rescuers to coordinate seamless transitions.
-
Train in pairs or groups to practice effective role-switching.
8. Forgetting Rescue Breaths (If Performing Conventional CPR)
Providing rescue breaths is crucial in some situations, such as drowning or pediatric emergencies. Skipping breaths can reduce oxygen delivery to the brain.
How to Fix It:
-
Give two rescue breaths after every 30 compressions if trained in conventional CPR.
-
Ensure each breath lasts about one second and makes the chest rise.
-
Use a CPR mask if available for added safety.
9. Hesitation to Start CPR
Many bystanders hesitate to start CPR due to fear of making a mistake, causing harm, or a lack of confidence in their skills.
How to Fix It:
-
Remember, doing something is better than doing nothing.
-
Hands-only CPR (chest compressions without rescue breaths) is a simple and effective alternative.
-
Take a CPR certification course to boost your confidence and skills.
10. Not Getting Proper CPR Training
Without proper CPR certification, individuals may develop poor habits or fail to stay updated with the latest guidelines.
How to Fix It:
-
Enroll in a CPR certification course in Tampa to learn hands-on techniques from professionals.
-
Stay current with the latest American Heart Association (AHA) guidelines.
-
Regularly refresh your skills through renewal courses and practice sessions.


