In an unresponsive, pulseless, and apneic patient, which action is recommended?

• A. Start CPR and transport immediately
• B. Determine if he has a valid living will
• C. Begin CPR until an AED is available
• D. Withhold CPR until he is defibrillated

Answer: (C)

In this situation the priority is to restore circulation by starting chest compressions right away. When someone is unresponsive, pulseless, and not breathing, the brain and heart depend on external chest compressions to maintain perfusion until a defibrillator can be used. You should begin CPR immediately and keep doing compressions while a defibrillator is obtained and ready to use. The AED should be applied and followed as soon as available, but you don’t delay CPR waiting for it. This approach maximizes chances of survival by providing continuous blood flow and using defibrillation as soon as possible. The other options delay or omit essential resuscitation steps or address non-emergency considerations rather than the immediate life-saving action.