- Lock your arms straight, get your shoulders over the hands, and rock from the hips. So far, no surprise.
- Perform #1 but use your abs to accelerate your shoulders downward.
- Perform #1 but start with your arms slightly bent and straighten them as you start the downward push.
- Perform 1, 2, and 3 simultaneously.
For those who lack the physical training and endurance to perform alternatives 2, 3, & 4, you'll have to stick with alternative #1.
A fifth alternative - not available to those performing CPR as part of their employment - is to perform pedal compressions. It's the only way I know of where the average person at home - where two-thirds of all cardiac arrests occur - can perform chest compressions from the time they witness an arrest to the time the ambulance crew is "hands on" at the victim of a cardiac arrest. See how to perform Pedal CPR I'm a paramedic. I've gotten a lot of CPR experience over the past decade, and I am absolutely positive that I can perform pedal compressions on someone for the ten-minute average period from the moment I see someone collapse and the time that help is "hands on."
I hope this is something that you never need to know.
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