Certified Athletic Trainers (ATCs) are expected to perform cardiopulmonary resuscitation (CPR) on athletes experiencing cardiac arrest, regardless of whether the athlete is wearing protective athletic equipment. The goal of this research was to determine if ATCs were able to deliver high-quality CPR over and under football shoulder pads. Forty-one ATCs completed CPR according to 2015 AHA guidelines over and under shoulder pads fitted on a manikin. CPR quality was measured with the Resusci Anne Wireless SkillReporter. Data were analyzed to compare CPR performed over and under the shoulder pads. Overall CPR score, chest compression depth, and ventilation volume were statistically significant when CPR was performed over the equipment. Equipment removal revealed to cause a delay in compression initiation. Although the data from CPR measures suggest the removal of equipment is indicated, the prolonged delay of compressions due to equipment removal should be taken into consideration before establishing best-practice recommendations.