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Your Complete Guide to the 7 Steps of CPR: Cardiopulmonary Resuscitation Explained for Australians

7 steps of CPR -Immediate assistance given to female suffering from serious injury on the street

Table of Contents

Key Takeaways

  • CPR (cardiopulmonary resuscitation) is a life-saving emergency technique used when someone’s heart stops beating or they stop breathing normally. 
  • The 7 steps of CPR follow the DRSABCD action plan, the framework endorsed by the Australian Resuscitation Council (ARC). 
  • Performing CPR immediately after cardiac arrest dramatically improves a person’s chance of survival before the ambulance arrives. 
  • Effective CPR combines 30 chest compressions with 2 rescue breaths, repeated at a rate of 100 to 120 compressions per minute. 
  • The best way to learn CPR with confidence is through a nationally accredited HLTAID009 course — enrol with First Aid Pro today.
cardiac arrest emergency CPR

Why Knowing CPR Could Be the Difference Between Life and Death

Cardiopulmonary resuscitation (CPR) is an emergency first aid procedure performed when a person’s heart stops beating or they stop breathing normally. It is among the most vital skills any Australian can learn — and far simpler to master than most people expect.

For every minute that passes without CPR following cardiac arrest, a person’s chance of survival drops by roughly 10 per cent. Without intervention, the brain and vital organs are starved of oxygenated blood, sustaining irreversible damage within minutes. Bystander CPR — delivered by an everyday person before emergency services arrive — is widely regarded as one of the most impactful interventions in modern emergency medicine.

Cardiac arrest affects more than 25,000 Australians outside of hospital each year. Survival rates remain concerningly low, frequently due to CPR not being started quickly enough. When a trained rescuer begins CPR immediately and maintains it until the ambulance arrives, survival rates can double or even triple.

Ready to learn the skill that saves lives? Enrol in First Aid Pro’s nationally recognised Melbourne HLTAID009 CPR course today — available face-to-face, blended, or online via Zoom. Book your spot now.

cpr

How CPR Works to Improve Survival Rates in Cardiac Emergencies

When the heart stops beating, oxygenated blood stops circulating throughout the body. The brain begins to sustain damage after just four to six minutes without oxygen. CPR works by manually maintaining blood circulation through chest compressions and restoring some oxygen to the lungs via rescue breaths (or ventilations). This buys precious time until advanced treatment — such as defibrillation or cardiac care from paramedics — can be delivered.

CPR bridges the critical gap between collapse and professional medical intervention. Even hands-only CPR — compressions delivered without rescue breathing — significantly improves outcomes, particularly within the first minutes of cardiac arrest in non-drowning adults.

The Reason Every Australian Should Be Trained in Effective CPR

The majority of cardiac arrests occur at home, with family members or friends nearby. The person most likely to administer CPR to someone you love is not a paramedic — it is you. CPR training means that when every second matters, you respond with confidence rather than uncertainty.

Australia’s nationally accredited CPR training framework, aligned with Australian Resuscitation Council (ARC) guidelines, ensures that anyone who completes a recognised course walks away with the practical skills and composure to act effectively in a real emergency.

Cpr training outdoors. Reanimation procedure on CPR doll

Understanding Cardiopulmonary Resuscitation: What It Is and How It Works

Cardiopulmonary resuscitation is a combination of chest compressions and rescue breaths designed to maintain circulation and oxygenation when the heart has stopped. The name itself reflects the process: cardio refers to the heart, pulmonary to the lungs, and resuscitation to the act of reviving a person.

CPR forms a cornerstone of adult basic life support and is governed in Australia by ANZCOR (Australian and New Zealand Committee on Resuscitation) guidelines, which are regularly reviewed and updated in line with the latest evidence.

The Function of Compressions and Ventilations in Sustaining Life

Chest compressions manually pump the heart, driving blood to the brain and vital organs. Each compression should depress the chest approximately 5–6 cm and be delivered at a rate of 100 to 120 compressions per minute — roughly the tempo of the song Stayin’ Alive.

Rescue breaths (ventilations) deliver air into the lungs, sustaining oxygen levels in the blood being circulated. The standard ratio in adult CPR is 30 chest compressions followed by 2 rescue breaths, repeated continuously until help arrives or the person resumes normal breathing.

CPR for Adults, Children and Infants — Key Differences at a Glance

Patient Type

Compression Depth

Compression Ratio

Technique

Adult

5–6 cm

30:2

Two hands (heel of one hand, other hand on top)

Child (1–8 yrs)

5 cm

30:2

One or two hands

Infant (under 1 yr)

4 cm

30:2

Two fingers

CPR on adults differs from CPR on children and babies in terms of technique and force applied, though the ratio of 30 compressions and 2 breaths remains consistent across all age groups. Understanding these differences is a core part of the HLTAID009 curriculum.

The DRSABCD Action Plan — Australia's Framework for Emergency Response

Breaking Down What DRSABCD Stands For

The DRSABCD action plan is the step-by-step framework used by Australian first aiders, paramedics, and emergency responders. It stands for:

D — Danger R — Response S — Send for Help A — Airway B — Breathing C — CPR D — Defibrillation

This framework is endorsed by the Australian Resuscitation Council and underpins CPR training across Australia, including nationally accredited providers like First Aid Pro.

Why the Australian Resuscitation Council Relies on DRSABCD

DRSABCD offers a logical, easy-to-remember sequence that guides any responder — trained or untrained — through the correct actions in the right order during a high-pressure emergency. It reduces hesitation, limits errors, and ensures no critical step is overlooked.

DRABCD - Foreman control loading Containers box from Cargo freight ship for import export.

The 7 Steps of CPR — Your Practical Step-by-Step Guide

The following CPR steps walk through each stage of the DRSABCD action plan in practical detail. This is your complete CPR guide.

Step 1 — D for Danger: Assessing the Scene Before You Act

Before approaching a collapsed person, scan the environment for hazards — traffic, electricity, fire, unstable structures, or any other risk that could endanger you or the casualty.

Do not become a second victim. If the scene is unsafe, do not enter. Call 000 and request an ambulance. Only approach when it is safe to do so. Safe manual handling begins at this stage — consider how you will approach and position the casualty without causing injury to yourself.

Step 2 — R for Response: How to Recognise and Manage an Unconscious Casualty

Once the scene is safe, determine whether the person is conscious. Tap their shoulders firmly and call out loudly: “Can you hear me? Open your eyes.”

If there is no response, the person is unresponsive. Position them on their back on a flat, firm surface. This marks the beginning of managing an unconscious casualty. Note the time — this information will be valuable to paramedics when the ambulance arrives.

Indian woman talking on smartphone.

Step 3 — S for Send for Help: Acting Fast When Seconds Count

Dial 000 immediately — or direct a bystander to make the call — so that an ambulance is dispatched without delay. Avoid leaving the person alone to make the call if possible. If others are present, point to a specific individual and instruct them directly: “You — call 000 now and ask for an ambulance.”

Ask bystanders to locate the nearest automated external defibrillator (AED). Many public spaces, workplaces, and sports facilities have AED units installed on site.

While waiting for emergency help, proceed immediately to the next steps. Do not wait for the ambulance before starting CPR.

Don’t wait for an emergency to find out you don’t know what to do. Get trained with First Aid Pro’s Melbourne HLTAID009 CPR course — nationally recognised and valid for 12 months Australia-wide. Enrol now.

Step 4 — A for Airway: Opening and Clearing the Airway the Right Way

Kneel beside the person and gently tilt their head back by placing one hand on their forehead and lifting their chin with two fingers of your other hand. This is the head-tilt chin-lift technique — the standard method used to open the airway.

Check inside the mouth. If a visible obstruction is present — vomit, food, or a foreign object — remove it carefully. Do not perform a blind finger sweep.

Reposition the head into a neutral, slightly extended position to keep the airway open. In infants, the head should remain neutral rather than tilted back, as over-extension can obstruct the airway.

DRSABCD - cpr breathing check and saving woman on field for 2026 03 25 05 41 52 utc

Step 5 — B for Breathing: Checking for Normal Breathing in an Emergency

With the airway open, look, listen, and feel for normal breathing for no more than 10 seconds:

  • Look — watch for the chest to rise and fall
  • Listen — bring your ear close to the mouth and listen for breath sounds
  • Feel — sense for air being expelled against your cheek

Breathing Status

Action Required

Breathing normally

Place in recovery position, monitor, await ambulance

Not breathing normally

Start CPR immediately

Occasional gasping (agonal breathing)

Treat as not breathing — start CPR immediately

Agonal breathing — irregular, gasping breaths — is not normal breathing. It is a reflex and does not indicate a functioning airway. When in doubt, start CPR.

Step 6 — C for CPR: Delivering Effective Chest Compressions and Ventilations

This is the heart of the CPR guide. To perform CPR correctly on an adult:

Chest Compressions:

  1. Kneel beside the person at shoulder level.
  2. Place the heel of one hand on the centre of their chest — on the lower half of the breastbone (sternum).
  3. Place your other hand on top and interlock your fingers, keeping them raised off the chest.
  4. Keep your arms straight and press directly down, compressing the chest 5–6 cm.
  5. Release fully between compressions — allow the chest to rise completely.
  6. Perform 30 compressions at a rate of 100 to 120 compressions per minute.

Rescue Breaths (Mouth-to-Mouth):

  1. After 30 compressions, tilt the head back and lift the chin.
  2. Pinch the nose closed with the hand on their forehead.
  3. Seal your mouth over theirs and deliver a steady breath for approximately 1 second — just enough to observe the chest rise.
  4. Allow the chest to fall as air is expelled.
  5. Repeat for a second rescue breath.

If the chest does not rise on the first breath, recheck the head position and attempt once more before returning to compressions.

Return immediately to 30 chest compressions. This 30:2 cycle — 30 compressions and 2 rescue breaths — constitutes one cycle of CPR. Performing CPR compressions continuously for 2 minutes equals approximately 5 cycles.

Hands-Only CPR: If you are unwilling or unable to give rescue breaths, hands-only CPR (compressions only) is acceptable and remains significantly beneficial, particularly in adults within the first minutes of cardiac arrest.

Continue CPR until: the person begins breathing normally, a trained responder takes over, an AED is ready to use, or you are physically unable to continue.

Step 7 — D for Defibrillation: Using an Automated External Defibrillator (AED)

An automated external defibrillator (AED) delivers a controlled electrical shock to the heart to restore a normal rhythm. When combined with CPR, the AED dramatically increases survival rates from cardiac arrest.

How to Use an AED:

Step

Action

1

Power on the AED — open the lid or press the power button

2

Attach the electrode pads as shown in the diagrams on the pads

3

Follow the voice prompts — the AED will guide you through each step

4

Ensure no one is touching the patient when the AED analyses the heart rhythm

5

If a shock is advised, stand clear and press the shock button

6

Resume CPR immediately after the shock is delivered

AEDs are designed for use by anyone. The voice prompts walk the rescuer through every step clearly. You do not need to be a medical professional to operate one — however, practising with an AED training device as part of the HLTAID009 course builds confidence and reduces hesitation when it matters most.

How Many Cycles of CPR Should You Perform? The 2-Minute Rule Explained

The national assessment requirement for CPR certification in Australia is a minimum of 2 minutes of uninterrupted single rescuer CPR, which equals 5 full cycles of 30 compressions and 2 rescue breaths.

In practice, continue performing CPR until paramedics arrive and take over, or until the person begins breathing normally. Do not pause to check for signs of life during CPR unless the person clearly begins to respond.

image of judge's hammer, scales lady of justice, law book, lapto

Legal Protections and Infection Control for First Aiders in Australia

Your Rights and Responsibilities as a First Aider Under Australian Law

Good Samaritan legislation operates in every Australian state and territory to protect individuals who provide emergency first aid in good faith. Provided you act reasonably and within your level of training, you are protected from civil liability. Completing CPR training through a nationally accredited course further strengthens your legal standing as a competent responder.

Infection Control Measures to Protect Everyone During Emergency Response

Where available, use personal protective equipment (PPE) including gloves and a face shield or CPR mask when delivering rescue breaths. If PPE is unavailable and you are unwilling to perform mouth-to-mouth, deliver hands-only CPR. Infection control is a core component of the HLTAID009 course.

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Build Real CPR Skills With First Aid Pro's Nationally Accredited HLTAID009 Course

Reading about CPR is a valuable starting point — but it is not a substitute for practical, hands-on training. The Melbourne HLTAID009 Provide Cardiopulmonary Resuscitation course from First Aid Pro is the nationally recognised standard for CPR certification in Australia.

What the HLTAID009 Provide Cardiopulmonary Resuscitation Course Covers

  • The complete DRSABCD action plan applied in a realistic emergency context
  • CPR techniques for adults, children, and infants using ARC-compliant manikins
  • How to operate an AED training device with confidence
  • Recognising and managing unconscious casualties
  • Legal responsibilities and infection control protocols
  • Practical assessment — 2 minutes of uninterrupted CPR — assessed by qualified instructors

Earning Your Nationally Recognised Statement of Attainment Valid for 12 Months

Upon successful completion, you receive a nationally recognised Statement of Attainment valid for 12 months across Australia. Courses are available face-to-face, as blended learning, or 100% online via Zoom — structured to fit your schedule without compromising quality.

CPR certification is valid for 12 months — when did you last renew yours? Book your Melbourne HLTAID009 CPR course with First Aid Pro and leave with the practical skills and confidence to save a life. 

Quick Knowledge Test: How Well Do You Know the 7 Steps of CPR?

Test your understanding of the 7 steps of CPR with this short quiz.

1. What does the first "D" in DRSABCD stand for?

2. At what rate should chest compressions be performed?

3. What is the correct compression-to-breath ratio for adult CPR?

4. How long should you check for breathing before starting CPR?

5. What should you do immediately after delivering an AED shock?

References

Frequently Asked Questions

What are the 7 steps of CPR in Australia?

The 7 steps of CPR in Australia follow the DRSABCD action plan: Danger, Response, Send for Help, Airway, Breathing, CPR, and Defibrillation. Each step follows a logical sequence to maximise the person’s chance of survival before the ambulance arrives.

For CPR on adults, compress the chest to a depth of 5–6 cm. Place the heel of one hand on the lower half of the breastbone, place your other hand on top, interlock your fingers, keep your arms straight, and press directly down at a rate of 100 to 120 compressions per minute.

Continue performing CPR until the person begins breathing normally, a trained responder takes over, the AED is ready to deliver a shock, or you are physically unable to continue. Do not stop CPR to check for signs of life unless there is an obvious change in the person’s condition.

CPR certification through a nationally accredited course such as HLTAID009 is valid for 12 months in Australian workplaces. Annual renewal is strongly recommended by the Australian Resuscitation Council to ensure your skills remain current and aligned with the latest guidelines.

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