If you have an unresponsive patient with suspected airway compromise and no detectable pulse, what is the priority action?

• A. Check for a pulse
• B. Begin CPR with chest compressions
• C. Check for a medical ID bracelet
• D. Wait for EMS to arrive

Answer: (B)

When someone is unresponsive and there is no detectable pulse, the priority is to start chest compressions immediately to restore circulation. The heart isn’t pumping, so perfusion to the brain and other vital organs stops quickly; delaying CPR or trying to recheck the pulse wastes precious seconds and can reduce survival chances. Airway management is important, but without blood flow, breaths won’t revive the person. Begin CPR to provide circulation, call for help, and if an AED is available, turn it on and follow its prompts. If you’re trained, provide breaths in the appropriate ratio after starting compressions, but do not delay compressions to verify a pulse or wait for EMS.