For a patient weighing more than 250 pounds, how many rescuers are recommended?

• A. At least 2
• B. At least 3
• C. At least 4
• D. At least 5

Answer: (C)

When a patient weighs more than 250 pounds, you need enough rescuers to keep CPR quality high while also handling airway management and equipment. Obesity makes chest compressions harder, so fatigue sets in quickly and depth and rate can drop if only a couple of rescuers are involved. Having four rescuers allows you to assign clear roles: one or two can continuously perform chest compressions (rotating every two minutes to stay effective), another can manage ventilation with a bag‑valve mask or an airway, and the remaining rescuer can handle defibrillator use, medications, IV access, and equipment management. This setup helps maintain the recommended compression depth and rate, ensures ventilation isn’t interrupted, and allows the team to move or reposition the patient safely as needed.