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What Are The 3 Steps In The Modified CPR Technique?

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Last updated on 8 min read

The three steps in the modified CPR technique are Call 911, give Chest Compressions only, and use an AED if available — this is known as hands-only CPR and was recommended by the American Heart Association as of 2020 for untrained bystanders during the COVID-19 era.

What are the 3 steps for hands only CPR?

Hands-only CPR has three clear steps: call emergency services, place your hands in the center of the chest, and push hard and fast at a rate of 100–120 compressions per minute; no rescue breaths are given in this simplified version.

Here’s how to do it right: dial 911 immediately while staying with the person. Kneel beside them, put the heel of one hand on the lower half of their breastbone, then stack your other hand on top. Push straight down about 2 inches, then let the chest rise fully between compressions. Keep this up until help arrives or they show signs of life. Honestly, this is the best approach for most untrained folks — no fancy breathing techniques required.

What is the new CPR technique?

As of 2026, the updated CPR sequence emphasizes starting with chest compressions before airway and breathing (CAB) to minimize delay and maximize blood flow, a shift first recommended by the American Heart Association in 2010 and widely adopted since.

No more wasting time checking for a pulse first. The heart needs blood moving, not air. Chest compressions keep oxygenated blood flowing to the brain and vital organs until help arrives. That’s why the CAB method replaced the old ABC approach — it saves more lives in sudden cardiac arrest cases. The evidence is clear: compressions first, questions later.

What is the correct order for CPR *?

The correct order for standard CPR is Chest compressions, Airway, then Breathing (CAB), as outlined in the 2010 American Heart Association guidelines and still in effect as of 2026.

After checking if the person responds and calling for help, rescuers begin 30 chest compressions right away. Only after those compressions do they open the airway and give two rescue breaths. This order cuts delays that could make things worse. The goal? Get oxygen to the brain as fast as possible.

What is the third step of CPR?

The third step of CPR is performing chest compressions, which follow airway and breathing in the CAB sequence.

Once you’ve confirmed the scene is safe and called for help, it’s time to pump. Place one hand on the lower half of the sternum, stack the other hand on top, and push down about 2 inches for adults. Let the chest rise fully between pushes. Aim for 100–120 compressions per minute — that’s the sweet spot. Keep going until help arrives or the person revives.

What is the ratio for 1 person CPR?

For one-person CPR, the compression-to-breath ratio is 30 compressions to 2 rescue breaths, according to AHA guidelines in force since 2010.

Push hard and fast in the center of the chest, then pause briefly to tilt the head back and give two breaths. Each breath should last about one second. Don’t overdo it — too much air can push it into the stomach instead of the lungs. That’s why the ratio balances circulation with practical rescue breaths.

What are the 3 types of CPR?

The three main types of CPR are hands-only (compression-only), standard CPR (CAB), and CPR with an AED, each suited to different situations and skill levels.

Hands-only CPR is perfect for bystanders who aren’t trained — just push hard and fast in the center of the chest. Standard CPR adds rescue breaths for those who’ve had training. And CPR with an AED combines compressions with early defibrillation when available. Each method boosts survival chances, especially when started within minutes of cardiac arrest.

What is the ABC in CPR?

The ABCs in CPR stand for Airway, Breathing, and Circulation (or Chest compressions), in that order, though the modern CAB sequence prioritizes compressions first.

Originally, rescuers opened the airway, gave rescue breaths, then checked for circulation. Now? Clear the airway quickly, then start chest compressions immediately. Why the change? Because compressions save more lives in those critical first minutes. The ABC model still matters, but CAB is where the focus lies today.

Why is hands only CPR better?

Hands-only CPR reduces delays in starting compressions and increases the number of high-quality chest pushes in the first minutes after adult out-of-hospital cardiac arrest, according to research cited by the American Heart Association.

Many people hesitate to give mouth-to-mouth, worried about disease or feeling unprepared. Hands-only CPR removes that barrier — anyone can jump in and act fast. Studies show it can double or triple survival rates when started within the first few minutes. That’s huge when every second counts.

Where is the correct hand placement for CPR for child?

For a child, place the heel of one hand on the lower half of the breastbone, just below the nipple line, avoiding the tip of the sternum, according to pediatric CPR guidelines from the American Heart Association.

Use one hand for smaller kids, both hands for larger children. Press down about 1/3 to 1/2 the depth of the chest — roughly 2 inches for most school-aged kids. Keep the other hand on the forehead to maintain an open airway if you need to give rescue breaths. Be gentle but firm.

What comes first in CPR?

In CPR, the first action is to begin chest compressions immediately after calling for help, per current AHA protocols.

Check if the person responds. If not, call 911 right away, then start 30 chest compressions without delay. If you’re unsure what to do, hands-only CPR still helps. The goal is to get blood moving as quickly as possible. Every second matters in sudden cardiac arrest.

What is the ratio for CPR in a child?

For two-person CPR on a child, the compression-to-breath ratio is 15 compressions to 2 breaths, while single-rescuer CPR uses a 30:2 ratio.

Two rescuers can work together more efficiently. One gives 15 fast, deep compressions in the center of the chest, then pauses while the other delivers two rescue breaths. This ratio keeps oxygen flowing better during pediatric cardiac arrest until advanced care arrives.

What are the 7 steps of CPR?

Standard CPR involves seven key steps: check responsiveness, call 911, position hands, give 30 compressions, open airway, deliver two breaths, and repeat until help arrives or the person revives.

  1. Make sure the scene is safe, then tap the person’s shoulder and shout, “Are you OK?”
  2. Call emergency services yourself or ask someone else to call while you stay with the victim.
  3. Kneel beside them and place the heel of one hand on the lower half of their breastbone.
  4. Give 30 chest compressions at a steady 100–120 per minute, pushing down about 2 inches for adults.
  5. Tilt their head back and lift the chin to open the airway and clear any blockages.
  6. Pinch their nose shut, seal your mouth over theirs, and give two rescue breaths — each should make the chest rise.
  7. If the chest doesn’t rise, reopen the airway and try again before starting another set of compressions.

What are the steps in using an AED?

The four basic steps for using an AED are: turn it on and follow prompts, expose and dry the chest, attach pads, and clear the area while delivering a shock if advised.

  1. Turn on the AED immediately and follow the voice or visual prompts without delay.
  2. Remove any clothing covering the chest and wipe it dry so the pads stick properly.
  3. Attach the pads exactly as shown in the diagrams — one below the collarbone, one to the side of the left nipple.
  4. Make sure no one is touching the person, then press the shock button if the device advises it after analyzing the rhythm.

If the AED doesn’t advise a shock, resume CPR right away, starting with chest compressions. These devices are designed for anyone to use — they guide you through every step.

What are the 10 steps of CPR?

The ten steps of CPR begin with scene safety and responsiveness checks, followed by calling for help, opening the airway, checking breathing, starting compressions, delivering rescue breaths, and continuing cycles.

  1. Scan the scene for dangers, then tap the person’s shoulder and shout, “Are you OK?”
  2. Call emergency services yourself or tell someone else to call while you stay with the victim.
  3. Use a head-tilt, chin-lift to open the airway and clear any obstructions.
  4. Look, listen, and feel for normal breathing — but don’t take more than 10 seconds to check.
  5. If they’re not breathing, start 30 chest compressions in the center of the chest at 100–120 per minute.
  6. After 30 compressions, open the airway again and give two rescue breaths, watching for the chest to rise.
  7. Keep repeating cycles of 30 compressions and 2 breaths until help arrives or the person revives.
  8. If an AED is nearby, power it on and use it as soon as possible, following its prompts.
  9. Stay calm and focused — every compression counts until advanced care takes over.
  10. If you’re alone and untrained, skip the breaths and just do hands-only CPR until help arrives.

How many cycles is 2 minutes CPR?

Two minutes of CPR equals about five cycles of 30 compressions and 2 breaths, based on the average time needed to complete five cycles for newly trained providers as of 2026.

Each full cycle takes roughly 24 seconds, so five cycles fit neatly into two minutes. That timing keeps compressions high-quality and interruptions minimal. Training programs use this benchmark to help rescuers stay on pace during real emergencies. It’s a simple way to measure progress when every second counts.

Edited and fact-checked by the TechFactsHub editorial team.
Alex Chen

Alex Chen is a senior tech writer and former IT support specialist with over a decade of experience troubleshooting everything from blue screens to printer jams. He lives in Portland, OR, where he spends his free time building custom PCs and wondering why printer drivers still don't work in 2026.