CPR Patient Positioning: Best Practices for Effective Resuscitation

When performing cardiopulmonary resuscitation (CPR), it is essential to position the patient correctly to maximize the effectiveness of chest compressions. The patient should be placed in a supine position — lying flat on their back. Ideally, this should be done on a firm surface such as a wooden board or a hard mattress. If only a soft bed is available, a rigid board should be placed beneath the patient's back to provide adequate support and ensure proper compression depth during CPR.

Optimal Positioning for the Rescuer

For single-rescuer CPR, the best position is typically on the patient's right side. This allows the rescuer to effectively perform chest compressions while maintaining a clear view of the patient's chest movement. The rescuer should keep their arms straight, shoulders directly above the hands, and use their body weight to apply steady, rhythmic pressure on the center of the patient's chest.

Team CPR: Coordinating Roles and Positions

Rescuer Performing Chest Compressions

In a two-rescuer scenario, the individual responsible for chest compressions can stand either to the left or right of the patient's chest, depending on preference and space constraints. This flexibility allows for better positioning based on the environment and the physical characteristics of the rescuers.

Rescuer Assisting with Rescue Breaths

The second rescuer should position themselves at the patient's head. From this location, they can effectively perform rescue breathing while also being able to monitor the patient's airway and facial response. This positioning allows for seamless coordination between the two rescuers, ensuring that compressions and ventilations are delivered in the correct ratio without unnecessary interruptions.