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Life-threatening

CPR — Not Breathing

Adult is unconscious and not breathing normally.

🚨 Call an ambulance immediately, then follow the steps below.

Step-by-step

  1. 1

    Check responsiveness

    Tap their shoulders and shout. If no response, shout for help and tell someone to call emergency services and bring a defibrillator (AED) if available.

  2. 2

    Open the airway

    Tilt their head back gently with one hand on the forehead. Lift the chin with two fingers of your other hand.

  3. 3

    Check breathing for 10 seconds

    Look at the chest, listen, and feel for breath on your cheek. Occasional gasps are not normal breathing — treat as not breathing.

  4. 4

    Start chest compressions

    Place the heel of one hand in the centre of the chest, other hand on top. Push hard and fast — 5–6 cm deep, at 100–120 beats per minute. Think of the beat of "Stayin' Alive" by the Bee Gees.

  5. 5

    30 compressions, then 2 breaths

    After 30 compressions, give 2 rescue breaths if you are trained and willing. If not, give continuous compressions only — that alone keeps blood flowing.

  6. 6

    Don't stop

    Keep going until emergency services arrive, an AED is attached and instructs you to stop, or the person starts breathing normally. Swap with someone every 2 minutes if possible — it is exhausting.

🛑 Do NOT

  • Do NOT delay starting compressions to find a pulse — push first.
  • Do NOT be afraid to push hard. Cracked ribs are recoverable; cardiac arrest without CPR is not.
  • Do NOT stop unless one of the conditions in step 6 happens.
  • For a child or baby, use only one hand (child) or two fingers (baby), and push to one-third of chest depth.

📞 Call an ambulance if…

  • Always — call emergency services the moment you find the person unresponsive.
  • If you are alone with a child, do 1 minute of CPR first before leaving to call.
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This guide is educational content — not medical advice. Always call emergency services first. Sources: Red Cross, American Heart Association, NHS England.