When should you cease CPR?

• A. Out of strength
• B. Physician or MCEP tells you to stop
• C. Starts breathing and has a pulse
• D. Transfer of care to provider of equal or higher level training

Answer: (C)

The main idea is that CPR should be stopped when the patient shows signs of life, specifically when they have a pulse and are breathing on their own. This means the heart and lungs are starting to work again on their own, so continuing chest compressions is no longer needed and could cause unnecessary harm. At that moment you shift to monitoring and supportive care, ensure the airway and oxygenation are appropriate, and arrange for transport as needed. Other valid reasons to stop CPR exist (such as a physician directing you to stop or another qualified provider taking over, or a DNR/scene safety concerns), but the clearest indicator in this situation is the return of a pulse with spontaneous breathing.