Hannover Tests Innovative HP-CPR to Boost Cardiac Arrest Survival
Hannover Fire Department and emergency services have begun testing an innovative resuscitation procedure, High Performance Cardiopulmonary Resuscitation (HP-CPR), aiming to set new standards in emergency care for patients with cardiac arrest. The testing, which started in September 2025, involves a unique collaboration between firefighters, emergency doctors, and other emergency service personnel.
Since September 1, 2025, a fire engine staffed with four firefighters is dispatched alongside an emergency doctor vehicle and an ambulance for specific incident types. This new approach allows firefighters to provide chest compressions, necessary equipment, and support patient transport, enabling emergency service personnel to focus on complex medical measures under the leadership of deployed emergency doctors.
The introduction of HP-CPR in the state capital's area was prepared through intensive training, simulation exercises, and the use of modern resuscitation technology. Prof. Dr. med. Andreas Flemming, Medical Director of the state capital's emergency service, expects the testing of HP-CPR to ensure everyone knows their role, enabling almost continuous chest compressions and integration of important measures. Dr. Axel von der Ohe, First Mayor and Councilor for Finance, Order, and Fire Department, endorses this scientifically sound and life-saving concept.
Every second counts in treating cardiac arrest, and HP-CPR aims to make the most of this critical time. The concept focuses on immediate resuscitation by bystanders, clear collaboration among emergency services, precisely defined roles, and continuous optimization of chest compressions. Initial studies and practical experiences suggest HP-CPR can significantly improve chances of successful resuscitation and good neurological recovery, setting a new benchmark for emergency care in Hannover.
