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How to Respond to Cardiac Arrest: CPR, AED & First Aid Guide

CPR, AED for cardiac arrest

Table of Contents

Cardiac arrest is one of the most serious medical emergencies — the heart suddenly stops pumping blood, cutting oxygen supply to the brain and vital organs. Without rapid treatment, survival is unlikely. Performing CPR and using an automated external defibrillator (AED) within minutes can double or even triple survival rates.

This article explains how to recognise the warning signs of cardiac arrest, step-by-step CPR instructions, how to use an AED safely, and why first aid training makes all the difference. Whether you’re a parent, teacher, co-worker, or passer-by, knowing what to do could save a life.

Be prepared to act — enrol today in a nationally recognised HLTAID009 CPR course with First Aid Pro.

cardiac arrest

Key Takeaways

  • Cardiac arrest is a sudden emergency where the heart stops beating and every second counts. 
  • Call Triple Zero (000), start CPR, and use an AED immediately. 
  • Early defibrillation can increase survival dramatically. 
  • AEDs are safe, effective, and easy to use — don’t hesitate. 
  • First aid training equips you with vital life-saving skills.

Understanding Sudden Cardiac Arrest: A Life-Threatening Emergency

Cardiac arrest occurs when the heart suddenly and unexpectedly stops pumping blood effectively. The heart may cease beating altogether or beat so weakly that it can no longer supply oxygen-rich blood to the brain and other vital organs. This leads to a rapid loss of consciousness and abnormal or absent breathing.

The underlying cause is usually a malfunction in the heart’s electrical system, most often triggered by arrhythmias such as ventricular fibrillation or ventricular tachycardia. This is different from a heart attack, which results from a blocked artery. In cardiac arrest, the problem is electrical, and the effect on heart function is immediate.

It is a medical emergency for three main reasons:

  • Loss of circulation: With no heartbeat, oxygen supply to the brain stops within moments.

  • Life-threatening consequences: Without CPR and defibrillation, death often follows within minutes.

  • Time-critical response: Every minute without treatment lowers survival chances significantly, while early intervention can double or triple recovery rates.

Warning signs may include chest pain, dizziness, palpitations, or shortness of breath, but often cardiac arrest occurs suddenly with no prior symptoms. Classic indicators are sudden collapse, unconsciousness, no breathing or abnormal breathing, and no detectable pulse.

The only effective response is immediate action — call Triple Zero (000), begin CPR, and use an AED if available. Without fast treatment, cardiac arrest is almost always fatal.

Cardiac Arrest vs Heart Attack – Know the Difference

Many people confuse these two conditions. Here’s a quick comparison:

Condition

Cause

Symptoms

First Aid Action

    

Heart Attack

Blocked blood flow to heart muscle

Chest pain, sweating, conscious

Call 000, seek urgent medical help

Cardiac Arrest

Electrical failure – heart stops

Sudden collapse, no pulse, no breathing

Call 000, start CPR, use AED

Causes & Risk Factors of Cardiac Arrest in Australia

Australia
Common Causes
  • Coronary artery disease
  • Abnormal heart rhythms (arrhythmias)
  • Severe trauma or injury
  • Drug overdose
  • Unexplained cases in young people
Risk Factors That Increase Likelihood
  • Previous heart disease or cardiac history
  • Lifestyle factors (smoking, obesity, high cholesterol)
  • Family history of sudden cardiac arrest
  • Warning signs such as fainting, chest pain, or palpitations
Tip: If any warning sign occurs with sudden collapse or abnormal breathing, treat it as a cardiac arrest—call Triple Zero (000), start CPR, and apply an AED if available.

In Australia, cardiovascular disease remains the leading cause of death, and sudden cardiac arrest is often linked to lifestyle factors such as poor diet, lack of physical activity, and smoking. However, it is not only older adults who are at risk. Cases in otherwise healthy young adults, particularly athletes with undiagnosed heart conditions, remind us that cardiac arrest can strike anyone. This unpredictability underscores the importance of widespread CPR and AED awareness across all age groups.

If you are unsure, begin CPR immediately. Acting quickly is always better than waiting.

Imagine this scenario: you’re at a gym and someone suddenly collapses during a workout. They are unresponsive, making occasional gasping sounds, and showing no signs of normal breathing. This is almost certainly a cardiac arrest, and your actions in the next few seconds

Case Study

During a Wiggles concert in January 2020, original yellow Wiggle Greg Page suffered a sudden cardiac arrest. Fortunately, a fan in the audience acted immediately and used a nearby automated external defibrillator (AED). That fast response made all the difference, and Greg survived.

Watch the following video to hear Greg tell his amazing story in his own words …

Step-by-Step Response to Cardiac Arrest — DRSABCD (Australia)

DRSABCD
If in doubt, treat as cardiac arrest. Call Triple Zero (000), start CPR, and use an AED.

Danger

Quickly check for hazards. Make the scene safe for you, the casualty, and bystanders.

Response

Check for movement, speech, or a reaction. If unresponsive, move to the next step.

Send for Help

Dial 000 for an ambulance. Put your phone on speaker and follow instructions.

Airway

Open and clear the airway. Tilt the head, lift the chin, remove visible obstructions.

Breathing

Look, listen, and feel for normal breathing (agonal gasps are not normal).

CPR

Not breathing normally? Start compressions in the centre of the chest: 100–120/min, ~5–6 cm depth.

Defibrillation (AED)

Apply an AED as soon as it’s available. Follow the voice prompts and continue CPR between analyses.

“When someone’s heart suddenly stops, bystanders are that person’s best chance of survival, even before paramedics arrive. Without bystanders who knew how to do CPR and had access to an AED, I wouldn’t be here.”
Greg Page · Former yellow Wiggle

👉 Take the next step: Book a First Aid Pro Adelaide Provide First Aid or CPR  training course and build confidence to act in an emergency.

First aid and CPR training

How to Perform Cardiopulmonary Resuscitation (CPR)

Stacked Layout

Adult CPR

  • 1

    DRS ABCD checks

    Danger, Response, Send for help, open Airway, check Breathing.

  • 2

    Start CPR if not breathing normally

    Give 30 chest compressions using both hands on the lower half of the breastbone; compress the chest by one-third its depth (~5–6 cm), then give 2 breaths.

    Watch for chest to rise & check airway if not.
  • 3

    Maintain rate & ratio

    Continue at 100–120/min, alternating 30:2 compressions and breaths until help arrives or the person recovers.

Tip: Hands in the centre of the chest. Allow full recoil between compressions.

Child CPR (1 year to puberty)

  • 1

    DRS ABCD approach

    Check Danger, Response, Send for help, Airway, Breathing, then proceed.

  • 2

    Hand position & depth

    If the chest is small, use one hand for compressions; otherwise use both hands as per adult. Compress one-third chest depth.

  • 3

    Rate & ratio

    Compress at 100–120/min, giving 30 compressions then 2 breaths (cover mouth, pinch nose, tilt head back slightly). Repeat until help arrives or the child recovers.

Reminder: Ensure visible chest rise with each breath; avoid over-inflation.

Infant CPR (under 1 year)

  • 1

    DRS ABCD with neutral airway

    Maintain a neutral head position to avoid airway obstruction when checking Airway and Breathing.

  • 2

    Finger placement & depth

    Use two fingers in the centre of the chest, just below the nipple line. Compress one-third chest depth at 100–120/min.

  • 3

    Ratio & breaths

    Give 30 compressions then 2 gentle puffs (cover baby’s mouth and nose with your mouth). Continue until medical help arrives or the infant recovers.

Note: Use gentle breaths — just enough to see the chest rise.

How to Use an Automated External Defibrillator (AED)

AED Steps
Do not touch the patient during analysis or shock. Call 000, start CPR, and apply the AED as soon as it’s available.
1

Switch the AED on

Open the case and press the ON button. Follow the voice prompts throughout.

2

Expose and prepare the chest

Cut/remove clothing. Dry moisture, shave only if hair prevents pad adhesion. Remove medication patches with a gloved hand.

3

Attach the pads as shown

Place pads in the antero-lateral positions (right upper chest, left side below armpit). Avoid placing pads directly over an implanted device bulge (pacemaker/ICD).

4

Stand clear for rhythm analysis

The AED will analyse the heart rhythm. No one should touch the patient during analysis.

5

Deliver shock if advised

If the AED says “Shock advised”, ensure everyone is clear and press the shock button when prompted.

6

Resume CPR immediately

After any shock (or if no shock advised), resume CPR at 100–120/min with a 30:2 ratio (or hands-only if untrained) until the next prompt.

7

Follow prompts until help arrives

Do not remove pads. Continue cycles of CPR and analysis until the person breathes normally or paramedics take over.

8

Special pad options

Use paediatric pads for children if available. If only adult pads are available, they may be used for children over 1 year (do not let pads touch).

Quick Notes (Australia)

  • AEDs are safe — they will not deliver a shock unless it’s needed.
  • If the person is wet, dry the chest quickly before pad placement.
  • For infants, follow local guidelines; if pads risk touching, place one on the chest and one on the back (antero-posterior).
  • Keep the AED powered on and pads attached until professionals arrive.

Where to Find AEDs in Australia

AEDs are increasingly available in public places. Look for the green heart with a lightning bolt symbol at:

  • Shopping centres and gyms 
  • Schools and workplaces
  • Airports, train stations, and stadiums 

Why Early CPR and Defibrillation Saves Lives

Time-Critical
~10% / min

Estimated drop in survival for each minute without CPR/AED.

3–5 mins

Using an AED within 3–5 minutes can lift survival to 70%+.

CPR = Flow

CPR keeps oxygenated blood moving until defibrillation restores rhythm.

The Chain of Survival
Figures are general guidance. Always follow current Australian Resuscitation Council recommendations and any device prompts.
first aid training

The Critical Need for CPR and First Aid Training

  • Training ensures correct CPR depth, rate, and AED pad placement. 
  • Builds confidence in responding under pressure. 
  • Many Australian workplaces require first aid certification under WHS laws. 

Certification also benefits families and communities. Parents, coaches, and teachers with CPR knowledge can act immediately if a child collapses during sport or play. Courses provide realistic, hands-on practice with manikins and defibrillators, ensuring you don’t just know the theory but can perform under real-world pressure. These skills are life-long and may one day help you save someone close to you.

Certification Renewal:

Don’t wait for a cardiac arrest emergency. Enrol in a nationally recognised First Aid Pro Adelaide training course today and learn CPR & AED use.

Knowledge Test Quiz

Interactive

Q1: What number should you call for emergencies in Australia?

Q2: How deep should adult chest compressions be?

Q3: How many compressions per minute should you aim for?

Q4: What does an AED do?

Q5: How often should you renew CPR certification?

Tip: You can tap an option to reveal a green tick (correct) or a red cross (incorrect). You can change your choice before pressing “Check answers”.

References

  1. Heart Foundation Australia. (2025). What Is Cardiac Arrest? 
  2. Victor Chang Cardiac Research Institute. (2025). Understanding Cardiac Arrest
  3. Safe Work Australia. (2025). WHS First Aid Requirements. 

Frequently Asked Questions

Can I hurt someone by doing CPR incorrectly?

 No — even imperfect CPR is better than none. Broken ribs can heal; brain damage from no oxygen cannot.

 Continue CPR without stopping until professional help arrives.

 Yes. Many industries now include AEDs in their WHS safety plans.

 Adults: two hands, 5–6 cm depth – pinch nose & cover mouth for breaths.
Infants: One to two fingers, gentle compressions and gentle breaths -cover both nose and mouth.

 First Aid Pro Adelaide offers nationally recognised HLTAID009 CPR and HLTAID011 First Aid courses across Adelaide.

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