After 8 minutes or 4 cycles what should be done?

After 8 minutes or 4 cycles what should be done?

• A. Stop CPR
• B. Switch to counterproductive ventilation
• C. Defibrillate immediately
• D. If passive insufflation was previously being done, switch to BVM ventilation; If BVM was being done from the beginning maintain BVM ventilation; Continue 2 min rounds of uninterrupted chest compressions

Answer: (D)

High-quality CPR hinges on two things: keeping blood flow with uninterrupted chest compressions and providing adequate ventilation without breaking the rhythm. After about eight minutes (four two-minute cycles), you should reassess airway management and keep the compression pattern consistent. If you’ve been relying on passive insufflation for ventilation, switch to bag-valve-mask ventilation to provide reliable breaths. If you’ve been ventilating with a bag-valve-mask from the start, continue doing so. In any case, maintain two-minute rounds of uninterrupted chest compressions, with rhythm checks and possible defibrillation performed as indicated at the end of each cycle.

High-quality CPR hinges on two things: keeping blood flow with uninterrupted chest compressions and providing adequate ventilation without breaking the rhythm. After about eight minutes (four two-minute cycles), you should reassess airway management and keep the compression pattern consistent.

If you’ve been relying on passive insufflation for ventilation, switch to bag-valve-mask ventilation to provide reliable breaths. If you’ve been ventilating with a bag-valve-mask from the start, continue doing so. In any case, maintain two-minute rounds of uninterrupted chest compressions, with rhythm checks and possible defibrillation performed as indicated at the end of each cycle.