CPR Coaching During Adult and Pediatric Cardiac Arrest
Red Cross Guidelines
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The inclusion of a cardiopulmonary resuscitation coach on a resuscitation team may be considered in settings where there are adequate resources and implementation planning to include role definition, training and team integration. NEW
Insights
The impact of adding a cardiopulmonary resuscitation (CPR) coach to resuscitation teams for adult and pediatric cardiac arrest has been evaluated in one small clinical study that reported improvements in compression fraction, compression depth and time to defibrillation. Additional evidence comes from simulation studies, which consistently suggest better CPR quality and adherence to guidelines with a CPR coach, though one reported increased physical demand on compressors.
No direct evidence links CPR coaches to improved survival or neurological outcomes. Effective implementation also requires trained personnel familiar with CPR metrics and communication; untrained coaches could degrade performance. Practical barriers include space limitations, role overlap with team leaders, and feasibility in low-staffed environments. Accordingly, Red Cross guidelines reflect the limited evidence and recommend cautious consideration of CPR coaches.