Knowing when to start CPR is vital, but so is knowing when to stop. In situations where emergency responders have taken over or you have become aware of a valid DNR – it would be reasonable to stop.
Imagine this: you’re in the middle of an emergency, giving CPR to someone whose heart has stopped. Adrenaline is high. You’re focused. But then, signs of life return. Or maybe help arrives. Or maybe you’re so physically exhausted you can no longer push through another set of compressions. What should you do?
This is where CPR decision-making becomes just as critical as the technique itself. The American Heart Association (AHA) has clear guidelines on when it’s appropriate (and safe) to stop CPR efforts. Understanding these helps ensure better outcomes, protects rescuers from harm, and offers clarity during high-pressure situations.
In this blog, we’ll walk through the key scenarios where CPR should end, offer tips to keep your skills sharp, and answer common questions about CPR certification, renewal timelines (like how long does CPR certification last), and what to expect in training. Let’s dive in.
What Is CPR and Why It Matters
CPR is a life-saving technique used when someone’s heart stops beating (cardiac arrest). It includes chest compressions to manually pump blood through the body and sometimes rescue breaths to deliver oxygen. With over 350,000 out-of-hospital cardiac arrests occurring in the U.S. every year, prompt and effective CPR can be the difference between life and death.
According to the AHA, CPR can double or triple the chances of survival, especially if administered within the first few minutes of cardiac arrest. That’s why so many professions, from teachers and fitness instructors to firefighters and caregivers, are required to hold a CPR certification or a BLS CPR certification (Basic Life Support).
When to Stop Performing CPR
While it’s essential to start CPR quickly, there are also times when stopping CPR is the right thing to do. Below are the main reasons to discontinue resuscitation efforts:
1. Return of Spontaneous Circulation (ROSC)
This means the person’s heart has started beating again. Signs include breathing, coughing, eye movement, or even regaining consciousness. Once this occurs, stop CPR and place the individual in the recovery position while waiting for emergency services.
2. Emergency Responders Take Over
Once EMS or trained professionals arrive and take over, it’s time to step back. They will assess the situation and use advanced techniques beyond basic CPR to continue life-saving efforts.
3. You’re Physically Exhausted
CPR is exhausting. If you’ve been performing compressions for several minutes without assistance and you become too tired to continue, it’s acceptable, and expected, to stop. If others are nearby, switch off every 2 minutes if possible to maintain effective compressions.
4. The Scene Becomes Unsafe
If the area becomes dangerous because of fire, electrical hazards, or structural damage, you should stop and prioritize your safety. It’s better to be cautious than to risk another emergency.
5. A Valid Do Not Resuscitate (DNR) Order Exists
Some people have legal documents indicating they do not want resuscitation efforts in the event of cardiac arrest. If you are made aware of a valid DNR, you must honor that directive.
6. Prolonged Efforts With No Signs of Life
If CPR has been ongoing for over 20 minutes with no return of pulse, no breathing, and no AED (Automated External Defibrillator) shock advised, it may be appropriate to stop. This decision is often guided by advanced providers or according to established protocols.
What You Learn in a CPR Certification Course
Understanding when to stop CPR is part of a broader training. CPR certification courses offer a mix of theory and hands-on practice. Here’s a breakdown of what’s typically included:
- Adult, Child, and Infant CPR: Learn how to recognize cardiac arrest and deliver compressions and breaths specific to different age groups.
- AED Use: Courses cover how to operate an AED, analyze rhythms, and deliver shocks when appropriate.
- Choking Response: Learn techniques to relieve airway blockages in conscious and unconscious victims.
- First Aid: If you opt for a CPR and First Aid certification, you’ll also learn wound care, bleeding control, treating burns, and handling allergic reactions.
- Real-World Scenarios: You’ll practice CPR on manikins and learn how to respond in homes, gyms, schools, and public spaces.
- Legal and Ethical Considerations: Training also includes understanding Good Samaritan laws and when not to perform or stop CPR, including recognizing DNR orders.
Many choose the AHA CPR certification for its nationwide recognition and evidence-based instruction. If you’re a healthcare professional, you might need the more advanced BLS CPR certification, which includes two-rescuer scenarios and bag-mask ventilation.
How Long Does CPR Certification Last?
Most certifications, including AHA CPR certification, are valid for two years. After that, you must take a renewal or recertification course. It’s important to stay current because CPR guidelines change based on new medical research.
Keeping Your CPR Skills Updated
Here are some easy ways to keep your skills fresh:
- Set Reminders for Recertification: Don’t wait until your CPR card expires, set a calendar alert at the 18-month mark.
- Practice with AED Trainers: If your workplace has an AED, ask if you can review its function periodically.
- Attend Refresher Workshops: Many training centers offer shorter courses or in-service training sessions.
- Download CPR Apps: Some organizations offer apps with updated protocols and real-time instruction.
Frequently Asked Questions About CPR Certification
- How long does CPR certification last?
Usually, CPR certification is valid for two years. After its expiration, you’ll need a renewal course to stay compliant and effective.
- Is CPR and AED certification different from BLS?
Yes. CPR and AED certification is often for laypersons, while BLS CPR certification is for healthcare professionals and includes more in-depth skills.
- Can I take CPR certification online?
Many courses now offer blended learning, online instruction plus an in-person skills session. Ensure it meets AHA and your employer’s requirements.
- Does CPR certification include First Aid training?
You can choose a CPR and First Aid certification course if you want broader emergency training beyond cardiac arrest.
Gain Confidence in Your Life-Saving Skills With CPR Certification Providence
CPR saves lives, but only when it’s performed correctly and with confidence. That includes knowing both when to begin and when to stop. Whether you’re dealing with a return of spontaneous circulation (ROSC), the arrival of trained professionals, or the sad reality of an unresponsive victim after prolonged resuscitation efforts, having the knowledge to make a clear decision is essential.
This kind of confidence doesn’t come from guessing, it comes from proper training. That’s where we come in.
At CPR Certification Providence, we offer comprehensive, hands-on training that not only teaches the AHA CPR certification techniques but also explains real-world decision-making scenarios. Whether you’re seeking CPR first aid certification or CPR and AED certification, we make sure you’re equipped with the full spectrum of knowledge, including how to responsibly discontinue CPR when necessary.
Our instructors are experienced, classes are flexible, and our certifications are recognized nationwide.
Ready to take action? Join one of our upcoming classes in Providence and get the skills you need to help save lives, with confidence.