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Proper execution of CPR is vital, which is why formal training is important. If done wrong, not only could it be ineffective, but it could damage the rib cage in a fatal manner. Proper execution could still break ribs; this is alright, and some physicians suggest it may even be necessary. Improper execution could snap off the xyphoid process at the bottom of the sternum and damage the heart itself, rendering CPR pointless.
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