An increasing amount of scientific research suggests that the Quality of CPR can have a direct impact
on survival from cardiac arrest. Compressing at the appropriate rate and to the appropriate depth
together with minimal interruptions and ‘hands off time’, have been shown to increase the chances
of survival with favorable outcomes. ‘Favorable’ in this context often means more than ‘just’ Return
of Spontaneous Circulation (ROSC), but survival to discharge with good neurological function. In
human terms, this means that patients can leave hospital to resume their lives as before.
High Quality CPR involves 5 critical components:1)
1. Minimize Interruptions - Chest Compression Fraction >80%
2. Compression rate of 100 to 120/min
3. Compression depth of at least 50 mm in an adult (1/3 AP depth in infants).
4. No residual leaning between compressions.
5. Avoid excessive ventilation (Only minimal chest rise and a rate of <12 breaths/min)
Achieving and maintaining proficiency in any skill requires regular practice and objective assessment
of the skill. The old saying that “Practice Makes Perfect“ is just as important for Resuscitation Quality
Improvement (RQI) as it is with other human activities. Through better objective measurement,
real time feedback during training and systems improvement processes of CPR performance, we
can help improve CPR quality which will, in turn, have a significant impact on survival from cardiac
The body of evidence is growing that links improved survival with real time feedback of CPR performance
during training, actual quality of resuscitation performance and post event debriefing with the
ability to review objective CPR performance data.
Our primary motivation for providing this abstract booklet is to share what we believe is significant
science that points us in a direction that can significantly improve survival from cardiac arrest. We
believe that evidence and education are the appropriate vehicles for change and hope that this booklet
is of value to you, and our resuscitation partners.
We hope that you will find this third edition of the collection of abstracts helpful and it enables you
to better understand the importance of High Quality CPR and the impact it can have on patient
This booklet is not a comprehensive review of all the literature, but it represents significant clinical
work that we believe illustrates the potential of High Quality CPR and the part that measurement
assessment and feedback can play to help provide High Quality CPR. It is important to note that the
abstracts included in this booklet are our best effort at interpreting the literature.
We have taken every effort to represent the research fairly and accurately, without commercial bias.
We encourage you to read the full specific Journal papers if interested.
1) Peter A. Meaney, Bentley J. Bobrow, Mary E. Mancini, Jim Christenson, Allan R. de Caen. Farhan Bhanji, Benjamin S. Abella,
Monica E. Kleinman, Dana P. Edelson, Robert A. Berg, Tom P. Aufderheide, Venu Menon and Marion Leary,
CPR Quality: Improving Cardiac Resuscitation Outcomes Both Inside and Outside the Hospital: A Consensus Statement From
the American Heart Association; Circulation June 2013.