Can You Do CPR If You're Not Certified?

General First Aid course, Paris, France. Learning CPR coupled with a defibrillator.
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The idea of being CPR certified can sometimes be more of a hindrance than a help. Learning CPR is not the same thing as getting a CPR certification, but is the card all that important? Can you still do CPR if you don't have a CPR certification?

It's Not a Driver's License

CPR certifications are really only to demonstrate to an employer that you've completed a CPR class. CPR certifications are largely unregulated, which means that almost anyone can print a card and pronounce someone CPR certified. Because of the mess of CPR training programs, many employers and state EMS agencies only accept CPR certifications from what I call the Big Three organizations: American Heart Association, American Red Cross and the National Safety Council.

You Can't Kill the Patient

Unlike other medical procedures, there isn't much of a downside to CPR. It doesn't have a lot of side effects. CPR is only effective for cardiac arrest when the heart either stops beating or is not beating strongly enough to flow blood to the body and brain. Victims of cardiac arrest need CPR or they will die.

These patients have already reached the end of their natural lives without your intervention. This is a condition that no one recovers from without help. To make matters worse, the longer you debate what to do without acting, the less of a chance the patient has to actually survive. The rough math comes out to approximately 10% less chance to live for every minute that CPR is not performed.

At that rate, the patient will be unable to survive after just 10 minutes. 

There's no way around it; if you don't do CPR, the victim will die. If CPR doesn't work, the victim will die. If you do CPR—even if it isn't perfect—the victim might survive.


The most important thing to remember is don't stand there, do something! If a person is not responding to you, call 911. If the person is not breathing, push on his chest. Whether you know how to do traditional CPR or not; whether you have a CPR certification or not, you just might save a life.

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