Learning Center / CPR & AED Guide

Adult CPR & AED Basics

If this is an emergency, call 911 now.
Educational information only. This website and knowledge check are not a CPR course, skills evaluation, medical consultation, or certification program. They do not replace high-quality, hands-on CPR and AED training from a qualified instructor. In an emergency, call 911 and follow the dispatcher's instructions.

This educational content was last updated in September 2026 using publicly available CPR and ECC resources. It has not been reviewed or endorsed by the American Heart Association.

Scene safety

Before you approach someone who has collapsed, check that the scene is safe for you and for them. Traffic, electrical hazards, fire, unstable structures, or violence can all put a would-be rescuer at risk. You cannot help safely if you become a second victim.

Recognizing possible cardiac arrest

Cardiac arrest happens when the heart suddenly stops pumping effectively. Someone in cardiac arrest is unresponsive and is not breathing normally — they may be silent, or only making occasional gasping sounds. Gasping is not normal breathing; it is a common early sign of cardiac arrest, not a sign the person is okay.

If someone is unresponsive and not breathing normally (or only gasping): treat it as a possible cardiac arrest. Call 911, send for an AED, and start compressions.

Activating 911

Call 911 yourself, or point directly at a specific bystander and tell them to call. If you have a mobile phone, put it on speaker so both your hands are free and the dispatcher can coach you in real time — including walking you through CPR itself if you have never done it before. Send someone to find an AED at the same time compressions begin; do not wait for one to arrive before starting.

Hands-Only CPR

For a teen or adult who suddenly collapses, Hands-Only CPR — chest compressions without rescue breaths — is a simple response most people can learn. Push hard and fast in the center of the chest. Hands-Only CPR is not the universal approach for every situation: rescue breaths remain important for infants and children, and for arrests caused by a breathing problem such as drowning or an overdose. See special circumstances below.

Rate, depth, and recoil

  • Hand placement: the heel of one hand in the center of the chest, on the lower half of the breastbone, with the other hand on top.
  • Rate: 100 to 120 compressions per minute.
  • Depth: at least 2 inches (5 cm), while avoiding excessive depth.
  • Recoil: let the chest return fully to its normal position between compressions. Avoid leaning on the chest — full recoil lets the heart refill.

Minimizing pauses

Keep interruptions in compressions as short as possible. Long pauses reduce blood flow to the brain and heart. Pause only when necessary — for example, while an AED analyzes the heart rhythm — and resume promptly.

Getting and using an AED

Use an AED as soon as one is available. Turn it on and follow its spoken or visual prompts: expose the chest, attach the pads where shown, and let the device analyze the rhythm. Make sure no one is touching the person while it analyzes or delivers a shock — say "clear" and look to confirm. After a shock, or if the AED says no shock is advised, resume chest compressions promptly and keep following the device's prompts.

Special circumstances

  • Wet chest or standing water: quickly wipe the chest dry, and move the person off standing water if you can do so safely, before attaching AED pads.
  • A medication patch on the chest: remove it before placing a pad in that spot, using a gloved hand if available.
  • Infants and children: conventional CPR with rescue breaths is important, and technique differs from adult CPR. This guide covers adults only — formal training covers infant and child CPR in full.
  • Drowning, overdose, or other breathing-related arrests: rescue breaths matter more in these situations than in a sudden collapse. Formal training covers when and how to add them.

What formal training adds

This guide and the quiz are educational, not a substitute for hands-on practice. A certified class adds supervised hands-on practice with feedback on your technique, training on infant and child CPR, choking response, rescue breaths, and a certification card if you need one for work or volunteering. See Brandon Rescue's CPR & first aid classes.

Common questions

The person is gasping. Doesn’t that mean they’re breathing?

Occasional gasping is not normal breathing — it is a common early sign of cardiac arrest, not a sign the person is okay. If someone is unresponsive and only gasping, treat it as a possible cardiac arrest: call 911 and start compressions.

What if I push too hard and hurt them?

Chest compressions can cause injuries such as bruising or a cracked rib. That risk is far outweighed by the risk of doing nothing for someone in cardiac arrest, who cannot be helped without compressions. Push hard — a compression that is too gentle to circulate blood is the bigger problem.

Why put the phone on speaker with 911?

It frees both hands to start compressions immediately, and lets the dispatcher coach you through the steps in real time — including guiding you through CPR itself if you have never done it before.

Is an AED hard to use?

It is built for a bystander with no training. Turn it on and it walks you through each step out loud, tells you where to place the pads, and analyzes the heart rhythm itself — it is designed to advise a shock only when its analysis detects a rhythm that calls for one, and it will not advise a shock otherwise.

What if the person’s chest is wet, or they’re lying in water?

Quickly wipe the chest dry before attaching AED pads, and move the person off standing water first if you can do so safely — the pads need a dry surface to work correctly. Compressions can still begin right away.

What if the person has a medication patch on their chest?

Remove a patch that is in the way of an AED pad placement before attaching the pad, using a gloved hand if one is available.

When do rescue breaths matter more than Hands-Only CPR?

Hands-Only CPR is for a teen or adult who suddenly collapses. Conventional CPR with breaths remains important for infants and children, and for arrests caused by a breathing problem such as drowning or an overdose. Formal training covers exactly how and when to add breaths — that is one of the best reasons to take a hands-on class.

Next step

Ready to check what you remember? Take the free 12-question knowledge check, or get the AHA quick reference to keep handy.

Build real skills with hands-on CPR training

This website can help you review general CPR and AED concepts, but it cannot evaluate hand placement, compression depth, compression rate, recoil, rescue breaths, AED operation, or your ability to respond under pressure. It does not replace high-quality, hands-on CPR and AED training from a qualified instructor.

Near Brandon, Vermont?

View upcoming CPR, first aid, and EMS classes offered through Brandon Rescue.

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Live somewhere else?

Use the American Heart Association's official course search to look for an AHA Training Center or instructor-led class near you.

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Brandon Rescue does not select, supervise, warrant, or endorse training providers found through an external directory. Confirm with your employer, licensing agency, school, or other organization which course and credential you need before registering.

Sources

This guide paraphrases publicly available guidance rather than quoting it. For the full, current detail, see:

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