The invention discloses a procedure for emergency room cardiopulmonary resuscitation (ERCPR), and relates to the technical field of cardiopulmonary resuscitation operation processes. When cardiac arrest is diagnosed, four teams (divided into four roles A, B, C and D) are immediately formed, cardiopulmonary resuscitation is immediately carried out by the group members according to a C-A-B principle, A/C pressing is conducted till the Lucas cardiopulmonary resuscitation machine is installed, then A assists B in preparing tracheal intubation articles, B carries out airway management, firstly, a balloon mask is used for ventilation, trachea intubation is conducted after Lucas are installed, the A and C are matched with the B at a ratio of 30: 2 for pressing and ventilation, C connects a defibrillation monitor to the patient, immediately holds the carotid artery pulsation by a hand to judge the pressing quality for 5 seconds after defibrillation preparation is made, then immediately defibrillates if a defibrillable heart rate exists, places Lucas together with A after defibrillation (or not defibrillated), C establishes a vein channel, draws blood and applies medicines, D prepares Lucasand starts the machine, A installs the machine after self-inspection is completed, and D is responsible for recording time and controlling cardiopulmonary resuscitation quality.