A new consumer survey from the American Heart Association reveals that nearly six in ten American adults still incorrectly believe that only those with special training should perform Hands-Only CPR. This misconception can be life-threatening, as immediate CPR significantly improves survival outcomes for cardiac arrest victims. The findings, released during Heart Month 2026, underscore the association's campaign titled 'You Are the First Responder Until Help Arrives,' which emphasizes that anyone can save a life with basic knowledge and the willingness to act.
According to the American Heart Association, most cardiac emergencies occur outside of hospital settings, and bystander CPR is performed only about 41% of the time. Research indicates that Hands-Only CPR can double or even triple a person's chance of survival. The survey highlights persistent barriers, including fear of doing it wrong, legal concerns, and the belief that certification is required. These concerns are even more prevalent among women and Black adults, who are less likely to receive bystander CPR.
'People tell us they're afraid they'll do it wrong or think CPR requires having a certification or taking a class before they can help,' said Stacey E. Rosen, M.D., volunteer president of the American Heart Association. 'Here's what matters—if a teen or adult collapses: call 911, then push hard and fast in the center of the chest. Your hands can keep blood flowing until professionals arrive.'
Each year in the United States, more than 350,000 cardiac arrests happen outside of a hospital, and about 90% are fatal. Most occur at home, where a loved one may be the only one nearby to help. A compelling example is Kristen Walenga of Frankfort, Ill., who survived sudden cardiac arrest because her 15-year-old son, Eddie, performed CPR he learned from the American Heart Association's Kids Heart Challenge program.
Hands-Only CPR for teens and adults involves two simple steps: call 911 and push hard and fast in the center of the chest at 100–120 beats per minute, approximately the tempo of 'Stayin' Alive' or 'Uptown Funk.' If an automated external defibrillator (AED) is available, turn it on and follow voice prompts. For infants and children, CPR must include breaths.
The American Heart Association offers various ways to learn CPR, including watching instructional videos, taking a class, or bringing CPR education to workplaces and community groups. The 'You Are the First Responder' initiative aligns with the association's Nation of Lifesavers campaign, sponsored nationally by Walgreens, which aims to double survival from out-of-hospital cardiac arrest by 2030.
'CPR is a civic duty. Heroism is not limited to uniforms; it is everyday people stepping up for others,' said Rosen. 'Strong communities are built by preparedness. Whether you're at home, the gym, or a child's soccer game, cardiac arrest can happen anywhere, and you will most likely be saving the life of someone you know and love.'
For more information and resources, visit the American Heart Association's website at heart.org or find a CPR class at heart.org/nation.
