Heel compressions quadruple the number of bystanders who can perform chest compressions for 10 minutes

Most cardiac arrests occur in private residences. If there is a witness, his or her age usually approximates that of the victim. Heel compressions are useful in situations where a lone rescuer cannot get down on the floor, cannot compress the chest to guideline depth because of an infirmity or lack of weight, or becomes too tired to continue manual compressions. Heel compressions significantly increase the bystander population's ability to provide effective, uninterrupted compressions until EMS arrival.