How Long To Perform CPR?

How long to perform post img
  • Updated on: October 14, 2024

Table of Contents:

  • Introduction
  • What Should Be the Appropriate Duration of CPR?
  • How Does the Duration of CPR Affect Different Age Groups?
  • Benefits of Longer Duration CPR
  • Adjusting CPR Time: Considering Victim’s Medical History
  • CPR Time For Drowning Victims
  • Duration of CPR Before Brain Damage
  • Side Effects of Prolonged CPR 
  • Final Thoughts

 

Introduction

Have you ever wondered how long you should do CPR if someone’s heart stops beating? CPR, or Cardiopulmonary Resuscitation, is a life-saving action that can help restart a person’s heart. It involves chest compressions and rescue breaths to keep blood flowing and provide oxygen to the brain and other vital organs. But how long should you continue?

Well, it’s a bit tricky because the answer can vary based on factors like the person’s age, their health, and the reason their heart stopped. In general, you should continue CPR until medical help arrives or the person starts to show signs of life, like breathing or moving.

In this blog, we’ll talk about how long to perform CPR, why timing is so important, and what to consider for people of different ages. We’ll also examine why keeping the blood flowing is crucial. So, let’s dive in and learn more about this vital life-saving skill!

 

What Should Be the Appropriate Duration of CPR

The first question that we shall discuss is how long do you do CPR for? Studies have found that performing CPR for at least 20 minutes can significantly increase the chances of survival, especially in cases where the heart is not responding immediately. This is because it takes time for the heart to restart. However, if there is no sign of recovery after 30 minutes, the likelihood of survival decreases, though this is not always the case. In some situations, such as hypothermia or near-drowning, prolonged CPR can still be effective because the body’s metabolism slows down, reducing oxygen needs.

Ultimately, every situation is unique, and the decision to continue or stop CPR should be based on the specific circumstances and any guidance from medical professionals. The key is to continue as long as it’s safe and there’s a possibility of saving a life.

 

How Does the Duration of CPR Affect Different Age Groups

The duration of CPR can have different effects depending on the age of the person receiving it. Here’s how it affects various age groups:

  • Infants (0-1 year): Infants have very fragile bodies, so CPR must be performed gently but continuously until help arrives. Infants’ brains are more sensitive to lack of oxygen, so starting CPR immediately is crucial. Even a short delay can cause serious harm. If CPR is started quickly, infants have a better chance of full recovery, even if CPR needs to be done for 20-30 minutes.
  • Children (1-12 years): Like infants, children need CPR to start as soon as possible to prevent brain damage. Children can sometimes recover after longer CPR, especially if it’s started immediately. Their bodies are still resilient, and with proper CPR, they can survive even after 20-30 minutes of resuscitation. Children are stronger than infants, so they are less likely to suffer injuries like broken ribs during CPR.
  • Adults (13-65 years): Adults (13-65 years): For adults, the standard practice is to continue CPR for 20-30 minutes or until help arrives. Quick and continuous CPR is key to survival. Adults may suffer from injuries like broken ribs or lung damage with prolonged CPR, but these injuries are secondary to the goal of saving a life. Some adults can recover even after prolonged CPR, especially if other factors, like being in cold water, come into play.
  • Elderly (65+ years): Due to their frailty, elderly individuals are more likely to suffer injuries during CPR. However, the primary goal is to maintain blood flow to the brain. Older adults may require longer CPR because their hearts might take more time to respond. Continuing CPR for 20-30 minutes can sometimes lead to survival. While there’s a higher risk of injury, the benefits of saving a life outweigh these risks, so CPR should be continued as long as possible.

In summary, how long to do CPR can vary in its impact depending on the age group, but the overall goal remains the same: keep the blood flowing and give the person the best chance of survival. Go through the link given below to know how to learn more about helping children who face cardiac emergencies.

Read More: What is the Pediatric Chain of Survival?

 

Benefits of Longer Duration CPR

Longer duration CPR can sometimes offer critical benefits, especially in challenging situations. When the heart stops beating, quick and continuous action is needed for survival. Here’s why continuing CPR for an extended period can be beneficial:

  • Increased Survival Chances: Continuing CPR for a longer time can help maintain blood flow to the brain and other vital organs, increasing the chances of survival, especially if the heart doesn’t restart immediately.
  • Time for Medical Intervention: Performing CPR for an extended period provides more time for emergency medical services to arrive and use advanced techniques like defibrillation or medications, which can help restart the heart.
  • Special Circumstances: Longer CPR is particularly beneficial in cases like hypothermia (extremely cold body temperature) or near-drowning. Cold temperatures can slow the body’s processes, making it possible to survive longer without oxygen. Continuing CPR in these situations can sometimes lead to successful resuscitation, even after 30 minutes or more.
  • Preventing Severe Brain Damage: The longer you can keep blood flowing to the brain, the better the chances of reducing or preventing severe brain damage. This is crucial for the person’s recovery and quality of life afterwards. Performing CPR within 30 minutes can reduce the chances of brain damage.

When considering “how long do you perform CPR,” it’s important to understand that while it can be exhausting, continuing CPR for a longer period can provide time for recovery in certain situations.

 

Adjusting CPR Time: Considering Victim’s Medical History

Now that we know why time is critical with CPR let us see how a victim’s medical history can influence how long and how intensively CPR should be performed. Taking medical conditions into account is necessary for knowing the chances of survival and recovery. Here are some key points to consider:

  • Known Heart Conditions: If the victim has a history of heart problems, it may take longer for their heart to respond to CPR. In such cases, continuing CPR for an extended period, beyond the usual 20-30 minutes, could be crucial. A longer duration might give their heart a better chance to restart.
  • Chronic Illnesses: Conditions like diabetes or kidney disease can affect how the body responds to CPR. These illnesses might make recovery slower, so a longer CPR time might be necessary to help the person survive.
  • Respiratory Issues: If the person has a history of lung diseases like asthma or COPD, their breathing might be more affected by cardiac arrest. In such cases, it’s important to continue CPR for as long as possible to keep oxygen flowing, even if it takes longer for them to respond.
  • Medication Use: Some medications, like blood thinners, can make the person more prone to bruising or bleeding during CPR. However, this shouldn’t deter you from continuing CPR if needed.

In summary, a victim’s medical history can guide decisions on how long to perform CPR. The goal is to tailor the duration to their specific needs while ensuring that blood flow is maintained until professional help arrives.

 

CPR Time For Drowning Victims

When someone drowns, their lungs fill with water, and they can’t breathe. Without oxygen, the heart stops beating, and the brain and other organs begin to shut down. CPR is a way to help by getting the heart to pump blood and sending oxygen to the brain until the person can breathe again or until help arrives.

For drowning victims, CPR should start as soon as they are out of the water. The sooner you start, the better the chances are that the person will survive without serious brain damage. Usually, you should continue CPR until emergency medical help arrives.

Sometimes, especially in cold water drownings, a person might be able to survive even if CPR is performed for a longer time, like 30 minutes or more. Cold water can slow down the body’s processes, which can protect the brain for a little longer. So, even if it feels like CPR is taking a long time, it’s important to keep trying.

The key point is that for drowning victims, there isn’t a strict time limit for how long you should perform CPR. The most important thing is to keep the blood flowing and give the person the best chance of recovery. Don’t stop until the person shows signs of life or until professional rescuers tell you to stop.

 

Duration of CPR Before Brain Damage?

When someone’s heart stops beating, their brain stops getting oxygen. The brain is very sensitive to a lack of oxygen, and without it, brain cells start to die quickly. Brain damage can begin after just 4-6 minutes without oxygen. This is why it’s so important to start CPR, or Cardiopulmonary Resuscitation, as soon as possible. CPR helps keep blood flowing to the brain, providing the oxygen it needs to stay alive.

The longer the brain goes without oxygen, the more severe the damage can become. After about 10 minutes without oxygen, significant brain damage is likely, and the chances of a full recovery decrease. However, if CPR is started right away, it can help delay brain damage by keeping oxygen moving through the body. But how long can you do CPR before brain damage? In some cases, if CPR is performed correctly and quickly, people can be revived even after 20-30 minutes without permanent brain damage, but this is rare.

Read More: 4 Benefits of Online ACLS Certification

 

Side Effects Of Prolonged CPR 

By now, we know how long CPR should be performed to save a person’s life. Performing it for a long time can affect the patient’s physical condition. Understanding the side effects can help manage them better. Here’s what can happen:

  • Broken Ribs: One of the most common effects of prolonged CPR is broken or fractured ribs. This happens because chest compressions need to be strong enough to keep the blood flowing, and the pressure can sometimes break the ribs, especially in older or more fragile people. While this might sound scary, the priority is to save the person’s life, and broken ribs can heal later.
  • Bruising and Soreness: Prolonged CPR can cause bruising on the chest where compressions are done. The patient may also feel very sore in their chest area after they wake up. This bruising and soreness come from the repeated pressure applied during CPR. While uncomfortable, these are minor issues compared to the importance of keeping the heart and brain alive.
  • Lung Injuries: In some cases, the force of chest compressions can cause injuries to the lungs, like a punctured lung. This is more likely to happen if CPR is performed for a long time. However, medical teams can treat these injuries, and the main goal is to ensure the patient survives.
  • Damage to Internal Organs: Though rare, prolonged CPR can sometimes cause damage to other internal organs like the liver or spleen. This happens because of the pressure applied during compressions, but like other injuries, these are treated after the patient is stabilized.

 

Final Thoughts

Knowing how long to perform CPR is vital for maximizing the chances of survival and minimizing brain damage during cardiac emergencies. Typically, CPR should be continued for at least 20 minutes and, in some cases, up to 30 minutes or more. This duration can vary based on factors such as the victim’s age, medical history, and the circumstances of the cardiac arrest.

 

The benefits of longer-duration CPR include increased chances of survival, buying time for advanced medical intervention, and preventing severe brain damage. While prolonged CPR can cause physical injuries, these are minor compared to the importance of maintaining blood flow to vital organs. Find an ACLS class near you and get trained as soon as you can. By learning CPR, you’re giving yourself the power to save a person’s life when it matters most.