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When to Stop CPR?

Published in CPR Cessation 2 mins read

Stop CPR when the person shows signs of life, such as breathing, moving, opening their eyes, or making sounds. This is the most critical reason to cease CPR. Continuing CPR after the person regains consciousness could be harmful.

Reasons to Stop CPR

Several factors determine when to stop cardiopulmonary resuscitation (CPR). These include:

1. Signs of Life

  • Consciousness: If the person shows any signs of consciousness, including breathing, moving their body, opening their eyes, or making sounds and talking, stop CPR immediately. This indicates that the heart is likely functioning again, at least partially.

  • Spontaneous Breathing: Observe for spontaneous, normal breathing. Gasping breaths are not considered normal breathing and CPR should continue.

2. Arrival of Trained Medical Personnel

Qualified professionals, like paramedics or EMTs, have advanced equipment and training to provide definitive care. Stop CPR when they arrive and take over.

3. Exhaustion

CPR is physically demanding. If you are too exhausted to continue effectively, you must stop to avoid putting yourself at risk. Call for assistance or have another person take over if possible before stopping completely.

4. Unsafe Scene

If the scene becomes unsafe due to factors such as fire, violence, or environmental hazards, immediately stop CPR and move the victim to a safe location if possible before resuming, if safe.

5. Prolonged Ineffectiveness

After 20 minutes of continuous CPR without a return of spontaneous circulation (ROSC) or a viable cardiac rhythm, and with no obvious reversible causes identified, consider stopping unless advanced life support is immediately available. This guideline is subject to professional judgment and other factors considered on a case by case basis. This is a general guideline and should be adapted to circumstances.

Remember, these guidelines are for informational purposes only. Proper CPR training is essential for effective and safe performance.