Even good CPR is far less efficient at circulating blood than a functioning heart.

The indicators of high-quality CPR that were identified at the 2012 AHA CPR Quality Summit in order of importance include:

• Chest compression fraction (CCF);
• Chest compression rate;
• Chest compression depth;
• Allowing for full recoil; and
• Adequate ventilations.

Using real-time feedback devices and ETCO2 to assess CPR quality.

Tips to limit pauses in CPR compressions to 10 seconds or less include:

1.  Pre-charge the defibrillator for 15 seconds before completion of a 2 minute cycle;

2.  Continuing chest compressions until the defibrillator is fully charged;

3.  Continuing chest compressions during insertion of an advanced airway; and

4.  Performing other activities simultaneously during scheduled pauses.

Limiting interruptions to chest compressions to less than 10 seconds so we can maintain a CCF of 80% requires teamwork and communication.

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