EditorialChest compressions: The good, the bad and the ugly Trygve Eftestøl Where exactly is the chest compression, where does it begin, when does it end, how deep does it go and at what rate are they performed? In short -how good or bad is the chest compression? These are some of the questions researchers ask themselves repeatedly. As well as these data, we need to know the proportion of resuscitation time spent giving quality compressions, the ratio of interruptions and several other parameters and we need to evaluate the effect on survival. Considering the increasing capacity for data storage and growing repositories of resuscitation data one might also ask what proportion of valuable research time is spent in analysing compressions.In recent years there have been a growing number of research reports focussing on the quality of CPR. Studies based on data from resuscitation of cardiac arrest patients both in-and out-of-hospital provided evidence that resuscitation was not performed according to guidelines. In particular, interruptions in chest compressions and ventilations were found to be frequent during CPR. 1,2Since then, researchers have developed quantitative measures to characterise chest compressions, such as CPR fraction,