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In 2010, the American Heart Association (AHA) and Emergency Cardiovascular Care (ECC) programs introduced a major change in the way CPR is performed. The long-standing A-B-C sequence—Airway, Breathing, Compressions—was flipped to C-A-B: Compressions, Airway, Breathing.
Why the change? Simple: chest compressions were being delayed, and that delay cost precious time when the heart and brain needed oxygen the most. Starting with compressions gets blood flowing faster, improving the chances of survival right from the start.
The steps of the C-A-B method are explained in detail in upcoming chapters, but here’s an overview:
During the COVID-19 pandemic, PPE shortages and transmission risks made it necessary to adjust how CPR is performed—especially in healthcare settings. Key changes include:
For adults:
For children:
These guidelines aim to balance lifesaving care with protection for responders.
Updated CPR guidelines continue to recommend a compression rate of at least 100–120 per minute. Going too fast or compressing too deeply may reduce the heart’s ability to refill and negatively impact the outcome. Steady, controlled compressions are key to effective CPR.
Sometimes, you may witness an adult or teen collapse unexpectedly—and you might not feel confident giving full CPR. That’s where hands-only CPR comes in. Here’s what to do:
This method skips the rescue breaths but is still proven to be effective—especially when done immediately. Thanks to Good Samaritan laws, you are legally protected when you step in to help.
This chapter is part of your Online Healthcare CPR/AED Course and gives you the foundation for safe, effective response using the modern C-A-B method.