Hover over the patient's chest, ensuring that she is not touching the patient.
Adequate blood flow is required to achieve sufficient oxygen and substrate delivery to vital tissues during CPR. ROSC requires appropriate myocardial oxygen delivery and blood flow during CPR, both dependent on coronary perfusion pressure (CPP). The physiologic aim of CPR is thus maximum CPP, which is maintained with maximally effective, continuous chest compression. Traditionally, interruptions in chest compressions occurred during inhalation, pad installation, pulse and rhythm checks, and the perishock phase. Teamwork, communication, and collaboration are the most effective ways to reduce the perishock pause. Make sure there is a line of persons ready to do compressions, and communicate when they should be switched out.
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