
Cats – CPR
Quick Check: Pulse check
- [A] Airway (Check & Clear)
- [B] Breathing (Observe & Rescue Breaths)
- [C] Circulation (Heart Rate & Compressions)
- [D] Don’t Wait (Transport & Team Coordination)
Steps 1 – 3
Step 1: Feline Choking & The Heimlich Maneuver
- Initial Sweep: Secure the cat gently (be extremely cautious of bites and scratches; wrap the cat in a towel if necessary). Open the mouth by pressing gently on the jaw hinges, pull the tongue forward, and look down the throat.
- Rule: Only remove objects you can clearly see and easily reach with tweezers or small pliers. Never blindly probe with fingers, as you risk pushing objects deeper or causing swelling.
- Abdominal Thrusts (The Heimlich):
- Standing or Lying Down: Place the cat on a firm surface. With one hand, support the cat’s back against your body. With the other hand, make a fist and place it just behind the rib cage (in the soft abdomen area). Give 5 rapid, upward thrusts towards the chest.
- Warning: Cats are extremely delicate. Do not use the same force as you would for a dog. Use controlled, measured pressure to avoid damaging internal organs.
- Back Blows (Alternative): If the object is not dislodged, place the cat on its side. With the heel of one hand, deliver 5 sharp back blows between the shoulder blades.
- Action Loop: Alternate between 5 thrusts and checking the mouth until the object clears or the cat becomes unconscious (at which point you transition immediately to Step 2: CPR).
Step 2: CPR & Chest Compressions
- Prerequisite Check: Confirm the cat is unconscious, not breathing, and has no detectable heartbeat. Check for a pulse on the inside of the hind leg (femoral artery) or by feeling the chest just behind the left front elbow.
- Positioning: Lay the cat flat on its right side on a firm surface.
- Compression Technique (Cardiac Pump Method): For most cats, you can compress directly over the heart.
- Hand Placement: Place your thumb on one side of the chest and your fingers on the other (wrapping your hand around the sternum) directly behind the front legs (at the 4th to 6th rib space).
- Depth: Compress the chest $1/3$ to $1/2$ of its total width. Allow the chest to fully recoil between compressions.
- Rhythm & Ratio:
- Rate: 100 to 120 compressions per minute (fast, rhythmic pushes).
- Ratio: 30 chest compressions followed by 2 rescue breaths.
- Rescue Breaths: Close the cat’s mouth completely to form an airtight seal. Place your mouth over both the nose and mouth (snout) of the cat and blow gently until you see the chest rise. Deliver 2 consecutive breaths.
Step 3: Emergency Transport & Stabilization
Post-Clearance Care: Even if a choking obstruction is successfully expelled or breathing resumes, transport the cat immediately for veterinary evaluation. Cats often suffer from complications after choking or CPR, such as internal bruising, rib fractures, or fluid accumulation in the lungs.
Teamwork: If a helper is present, have them call or drive to the nearest emergency veterinary hospital immediately while you perform continuous cycles of CPR in the vehicle.

Dogs – CPR
Quick Check: Pulse check
- [A] Airway (Check & Clear)
- [B] Breathing (Observe & Rescue Breaths)
- [C] Circulation (Heart Rate & Compressions)
- [D] Don’t Wait (Transport & Team Coordination)
Steps 1 – 3
Step 1: Canine Choking & The Heimlich Maneuver
- Initial Sweep: Secure the dog gently (watch for panic bites). Open the mouth, pull the tongue forward, and look down the throat.
- Rule: Only remove objects you can clearly see and easily reach. Never blindly probe or push objects deeper.
- Abdominal Thrusts (The Heimlich):
- Standing / Large Dogs: Stand behind the dog with its back against your chest. Wrap your arms around its abdomen just beneath the rib cage. Make a fist with one hand, grasp it with your other, and give 5 rapid inward and upward thrusts.
- Small Dogs / Lying Down: Lay the dog on its back (or hold them on your lap on their back), place your hands just below the rib cage, and push firmly inward and upward.
- Back Blows (Alternative / Follow-up): If the object is not dislodged, hold the dog’s hind legs up (like a wheelbarrow or hanging by the hips for small dogs) and deliver 5 sharp back blows between the shoulder blades with the heel of your hand.
- Action loop: Alternate between 5 thrusts/back blows and checking the mouth until the object clears or the dog becomes unconscious (at which point you transition immediately to CPR).
Step 2: CPR & Chest Compressions
- Prerequisite Check: Confirm the dog is unresponsive, not breathing, and has no detectable heartbeat (check the femoral artery on the inside of the hind leg groin, or feel behind the left front elbow).
- Positioning: Lay the dog flat on its right side on a firm surface. Extend the head and neck straight to align the windpipe.
- Compression Technique (Varies by Dog Build):
- Medium & Large Round-Chested Dogs (e.g., Labs): Place your hands over the widest part of the chest with elbows locked. Compress $1/3$ to $1/2$ the width of the chest.
- Deep-Chested / Narrow Dogs (e.g., Greyhounds): Compress directly over the heart behind the left elbow.
- Small Dogs & Puppies (Under 30 lbs): Use one hand or wrap your hands around the chest (thumbs on one side, fingers on the other) to gently compress $1/3$ to $1/2$ the chest width.
- Flat-Chested / Barrel-Chested Brachycephalic Breeds (e.g., Bulldogs): Lay them flat on their backs, compressing straight down on the sternum (if they tolerate it; otherwise revert to side-lying round-chest compressions).
- Rhythm & Ratio:
- Rate: 100 to 120 compressions per minute (keep beat to “Stayin’ Alive”).
- Ratio: 30 chest compressions to 2 rescue breaths.
- Rescue Breaths: Close the dog’s mouth completely, place your mouth over both nostrils (making an airtight seal—for small puppies you can cover both the nose and mouth together), and blow gently until you see the chest rise. Deliver 2 consecutive breaths.
Step 3: Emergency Transport & Stabilization
- Teamwork: If a helper is present, have them drive or contact the nearest emergency veterinary hospital immediately while you perform continuous cycles.
- Post-Clearance Care: Even if a choking obstruction is successfully expelled or breathing resumes, transport the dog immediately for veterinary evaluation to check for hidden airway trauma, bruised lungs, or internal fluid accumulation.

Rabbits – CPR
Quick Check: Pulse check
- [A] Airway (Check & Clear)
- [B] Breathing (Observe & Rescue Breaths)
- [C] Circulation (Heart Rate & Compressions)
- [D] Don’t Wait (Transport & Team Coordination)
Steps 1 – 3
Step 1: Rabbit Choking & The Modified Gravity Assist
- Initial Assessment & Safety: Secure the rabbit gently in a small towel to prevent panic scratching. Watch for frantic pawing at the mouth, gaping, bulging eyes, silence, or sudden collapse.
- Crucial Anatomical Rule: Rabbits cannot vomit. Never squeeze the ribcage or shake a rabbit upside down by its hind legs, as this risks fatal spinal fractures.
- Visual Inspection & Airway Clearance:
- Open the tiny mouth only if an object is clearly visible. Use small blunt-tip tweezers or a cotton swab to gently sweep or pull out the debris.
- Strict Prohibited Action: Never perform a blind finger sweep deep into the mouth, as you risk pushing the obstruction further down the airway.
- The Gravity Assist (Modified Heimlich / Tilt):
- Action: Hold the rabbit with its head angled downward on a slope, supporting its chest firmly with one hand while keeping the spine straight and fully supported.
- Motion: Give 2 to 3 swift, controlled downward motions or cushioned dips (combining gravity with a gentle abdominal press just below the ribcage) to encourage the obstruction to slide forward.
- Action Loop: Check the mouth between attempts until the object clears or the rabbit becomes unconscious (at which point you transition immediately to CPR).
Step 2: CPR & Chest Compressions
- Prerequisite Check: Confirm the rabbit is entirely unresponsive, limp, not breathing, and has no detectable heartbeat.
- Positioning: Lay the rabbit gently on its side on a flat, non-slip surface. Extend the head and neck straight in alignment to keep the airway open.
- Compression Technique (Rabbit Build & Size):
- Small Mammal Technique: Place your thumb on top of the chest and your index/middle finger underneath (or use one hand circling the tiny chest depending on the rabbit’s size).
- Depth: Compress down roughly one-third to one-half the width of the delicate chest.
- Rhythm & Ratio:
- Rate: 100 to 120 compressions per minute.
- Ratio: 30 chest compressions to 2 rescue breaths.
- Rescue Breaths (Mouth-to-Nose): Gently hold the rabbit’s mouth completely shut with your fingers. Place your mouth entirely over the rabbit’s tiny nose to create an airtight seal. Deliver 5 initial small, shallow puffs of air (or 2 breaths during the 30:2 ratio cycle), watching carefully to ensure the chest rises slightly with each breath. Do not over-inflate.
Step 3: Emergency Transport & Stabilization
- Teamwork & Monitoring: Check for a heartbeat or pulse via the large femoral artery inside the upper hind leg every 2 minutes. If a helper is present, have them drive or contact the nearest exotics emergency veterinary hospital immediately while you perform continuous cycles.
- Post-Clearance Care: Even if a choking obstruction is successfully expelled or breathing resumes, transport the rabbit immediately to an exotics emergency veterinarian for evaluation to check for hidden airway trauma or internal complications.

