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Chest compressions: push hard and push fast

Updated September 28, 2015

The CPR mantra is “push hard and push fast.” But what is hard and what is fast?

Effective chest compressions are dependent on delivering at least 100 chest compressions per minute.

Use a metronome to know if you are doing 100 compressions per minute.

A metronome is a simple tempo device used by singers and musicians that clicks or beeps at a prescribed beats per minute. A small metronome can be packaged with your AED or code equipment.

Two online metronomes are available at webmetronome.com/ or www.metronomeonline.com/. You might even be able to load a metronome into your smart phone or PDA.

If you don’t have a metronome, try singing the famous Bee Gees song, “Stayin’ Alive,” as you compress. Barry and the boys are grooving at about 100 beats per minute.

Watch 50 responders began performing hands-only CPR on dummies in a city plaza to raise public awareness about the importance of knowing the life-saving skill

Greg Friese, MS, NRP, is a contributing editor at EMS1 and a public safety training and technology thought leader. His work translates incident analysis and research-to-practice insights into how-to guidance that supports clinical performance, operational readiness and workforce resilience. Friese writes frequently about practical technology adoption in public safety operations, including generative AI. He co-founded First Responder Wellness Week and co-hosts the Wellness Brief video series in the Lexipol Wellness app. Connect with Friese on LinkedIn or by email, greg@gregfriese.com.