Abstract: The present disclosure provides a cardio pulmonary resuscitation (CPR) apparatus for performing a chest compression on a patient supported by a support. The apparatus includes an actuator operatively coupled to a compression mechanism for actuating the compression mechanism to perform the chest compression. The compression mechanism is securable to the support and is configured to repeatedly perform chest compressions on the patient in an operating space, the operating space being the space in which the compression mechanism operates. The actuator is positioned outside of the operating space. The present disclosure further provides a monitoring system having the CPR apparatus and a feedback system coupled to the CPR apparatus.