CPR Positioning: Which Side of the Patient to Stand On

When performing cardiopulmonary resuscitation (CPR), there is no strict rule about which side of the patient you must stand on. However, it is generally more convenient to perform CPR from the patient's right side. This is because most people are right-handed, making it easier to carry out chest compressions and other necessary actions from that side.

Flexibility in CPR Positioning

If circumstances prevent you from standing on the right, it's perfectly acceptable to perform CPR from the left side. The most important factor is your ability to effectively administer compressions and ventilations. In a two-rescuer scenario, one person can perform chest compressions while the other delivers rescue breaths, allowing each to stand on whichever side provides the best access and efficiency.

Considering the Environment

During an emergency, the immediate environment plays a key role in determining positioning. There is no fixed rule about where to stand—flexibility is essential. Ideally, you should choose the right side if possible, as it often provides better ergonomics for most rescuers. However, situational constraints such as space, obstacles, or the patient's position may require adjustments.

Switching Rescuers for Optimal Performance

When performing CPR, it's recommended to switch rescuers every two minutes or after about 30 compressions and 2 breaths repeated for five cycles. This is crucial because fatigue can significantly reduce the effectiveness of chest compressions. Even in a two-rescuer situation, alternating roles ensures consistent quality of CPR and reduces physical strain.

Conclusion

In summary, while the right side is typically preferred for performing CPR, the most important consideration is being able to deliver high-quality compressions and ventilations. Always adapt to the scene and conditions, and remember to rotate rescuers regularly to maintain optimal performance during prolonged CPR efforts.