The practice of regularly changing personnel who are administering chest compressions during cardiopulmonary resuscitation (CPR) is a crucial strategy for maintaining effective and consistent resuscitation efforts. High-quality chest compressions are physically demanding, and fatigue can significantly reduce the rate and depth of compressions, thereby diminishing the likelihood of successful resuscitation. For example, a single rescuer might initially deliver compressions at an adequate rate and depth, but their performance will deteriorate over time due to exertion.
Sustaining adequate chest compressions has a direct and positive impact on patient outcomes following cardiac arrest. Consistent blood flow to the brain and heart is essential during CPR. The practice of rotating providers ensures that each compression is delivered with sufficient force and at the required rate, improving the chances of restoring spontaneous circulation. Historically, emphasis was placed primarily on initiating CPR quickly; however, recognition has grown regarding the importance of maintaining compression quality throughout the resuscitation attempt. This realization has led to established guidelines emphasizing the necessity of provider rotation.
