With hard and soft surface CPR such as at sites with trampolines, should we remove the casualty from the trampoline for CPR instead of attempting soft surface CPR?

The ERC 2025 Adult Basic Life Support Guidelines details: ‘For infants and children, CPR should be performed on a firm surface if immediately available. CPR is most effective when performed on a firm surface. However, first aiders should not move a casualty from a ‘soft’ surface, e.g. a bed to the floor. Start CPR on the bed and, if needed, compress the chest deeper to compensate for the soft mattress.

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