Related Experiment Video
Updated: Jan 17, 2026

Standardized Model of Ventricular Fibrillation and Advanced Cardiac Life Support in Swine
Published on: January 30, 2020
Rethinking the 2-minute rule in adult basic life support cardiopulmonary resuscitation
Emma Menant1,2, Guillaume Debaty3,4, Janet Bray5,6
1Université Paris Cité, Inserm, PARCC, F-75015 Paris, France.
Abstract:
The standard 2-minute cycle of cardiopulmonary resuscitation (CPR) followed by rhythm analysis has long guided out-of-hospital cardiac arrest basic life support. However, recent studies suggest this method may not optimize return of spontaneous circulation. Research shows most ventricular fibrillation recurrences occur within a minute post-shock, supporting earlier defibrillation and rhythm analysis during CPR to improve survival. Conversely, when no shock is needed, longer CPR durations may be more beneficial. This commentary article reviews the evolution of CPR guidelines and critically assesses new evidence, advocating for a re-evaluation of the 2-minute interval in favour of more flexible, patient-specific resuscitation strategies.
More Related Videos
Related Concept Videos
Cardiopulmonary Resuscitation I: Adult
Cardiopulmonary Resuscitation II: ACLS Airway Management
Cardiopulmonary Resuscitation III: AED Use
Cardiopulmonary Resuscitation IV: Pharmacological Management
Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques
Respiratory Volumes and Capacities I

