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One rescuer will give 30 compressions and the other rescuer will give 2 breaths. When the rescuer giving compressions gets tires and wants to change, on the last compression instead of saying 30 he/she says change. The 2 breaths are given, the rescuers stay on the same side of the patient, and move positions for the change. CPR then continues with the 30 compressions, then 2 breaths repeated until the next change is called for.

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