CPR Compression Rate and Depth: The Numbers That Matter

AHA guidelines call for 100–120 compressions per minute, at least 2 inches deep (5 cm) in adults, with full chest recoil between compressions and interruptions kept under 10 seconds.

Quick facts
  • Rate: 100–120 compressions per minute
  • Depth (adult): at least 2 inches; not more than 2.4 inches
  • Depth (child): about 2 inches (one-third chest depth)
  • Depth (infant): about 1.5 inches

Why the rate range matters

Below 100/min, you don't generate enough flow. Above 120/min, the heart doesn't fully refill between compressions. The 'Stayin' Alive' tempo (103 BPM) hits the sweet spot.

Full recoil is non-negotiable

Leaning on the chest between compressions prevents the heart from refilling. Lift your hands fully without losing position.

Compression fraction

Aim for compressions during at least 60% of total CPR time. Plan pauses (rhythm checks, AED analysis, intubation) to be as short as possible.

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Frequently asked questions

How do I keep pace at 100–120 BPM?
Sing 'Stayin' Alive' (103 BPM) or use a metronome app.
Is 2 inches too deep?
No — adult guidelines explicitly require at least 2 inches. Going past 2.4 inches increases injury without improving outcomes.
What if I can't push that hard?
Switch rescuers every 2 minutes. Fatigue silently reduces depth even when rescuers feel fine.

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