July 23, 2026 · Resuscitation · DOI: 10.1016/j.resuscitation.2026.111220

Where Should We Compress? Ultrasound Identification of the Ideal Area of Maximal Compression for CPR

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The authors aimed to identify the ideal area of maximal compression (iAMC) for CPR in relation to the left ventricular outflow tract (LVOT) and standard chest compression guidelines using transthoracic echocardiography. Their findings indicate that the recommended compression location often aligns more closely with the LVOT than the iAMC, highlighting a potential mismatch between CPR hand placement and optimal ventricular compression. This study suggests a need for reevaluation of CPR techniques to enhance their effectiveness.

Lorena Martinez, Allyson Hansen, Mit Patel, Devon Khiabani, Daniel Mbom, Teagen Smith, Brian Villa, Bryan Cao, Brandon Buchel, Charlotte Derr

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