What is the recommended chest compression rate during adult CPR in flight?

• A. 60–80 compressions per minute.
• B. 80–100 compressions per minute.
• C. 100–120 compressions per minute.
• D. 120–140 compressions per minute.

Answer: (C)

Maintaining a brisk, steady pace for chest compressions is essential because it directly controls how well blood is circulated to the heart and brain during CPR. A pace that’s too slow reduces perfusion, while a pace that’s too fast can shorten each compression and prevent full chest recoil, which is needed for the heart to fill again between squeezes. The best rhythm is one that is fast enough to sustain circulation but slow enough to allow depths to be achieved consistently and for the chest to recoil fully after each compression. In flight, you can use a simple metronome or a familiar song to help keep this rhythm steady, countering fatigue and ensuring compressions remain effective. So the correct approach is a brisk, controlled tempo that aligns with standard CPR guidelines, balancing speed with adequate depth and recoil.