Signs of Successful CPR in Adults

When performing cardiopulmonary resuscitation (CPR) on an adult, there are several key indicators that suggest the procedure has been successful. Recognizing these signs is crucial for both medical professionals and laypersons who may be providing emergency care.

Key Indicators of CPR Success

1. Return of Spontaneous Breathing and Circulation

One of the most important signs of successful CPR is the return of spontaneous breathing. You may observe the patient beginning to breathe on their own. Additionally, a pulse should be detectable in major arteries such as the carotid or femoral artery. Blood pressure readings may show a systolic pressure of at least 60 mmHg, indicating that circulation has been restored to a degree.

2. Improved Physical Response and Body Temperature

Another positive sign is the improvement in the patient's physical condition. The extremities, such as hands and feet, may begin to feel warmer, suggesting better blood circulation. Muscle tone may return, and the patient might exhibit involuntary movements or attempts to move their limbs, indicating neurological function is recovering.

3. Responsive Pupils and Normalized Coloration

The patient's pupils may constrict from being dilated, which is a sign of improved brain function. Reflexes such as the blink or corneal reflex (e.g., response to light) may return. Additionally, the color of the lips, skin, mucous membranes, and nail beds should begin to return to a normal pink or healthy tone, indicating better oxygenation.

Post-Resuscitation Care

Once CPR has been successful and the patient shows signs of life, it is important to position them correctly. Place the individual in the recovery position with their head tilted to one side to help keep the airway open and prevent choking. Make sure their clothing is adjusted for comfort and accessibility for further medical personnel.

After stabilizing the patient, it's essential to continue monitoring their condition and await advanced life support measures. This may include advanced airway management, medication administration, or transport to a medical facility for further evaluation and treatment.