Pre-Arrival Instructions (PAIs) must be read:

• A. Exactly as written
• B. Paraphrase
• C. Optional
• D. With minor edits for grammar

Answer: (A)

Reading Pre-Arrival Instructions exactly as written is essential because these PAIs are standardized scripts that guide bystander actions and ensure consistency across calls. The exact wording preserves the intended sequence, timing cues, and emphasis of critical steps, such as recognizing unresponsiveness, calling for help, starting CPR, and using an AED. Paraphrasing or altering the wording can change meaning, omit or reorder steps, or shift urgency, which can reduce effectiveness and create liability. Optional reading or minor grammar edits could lead to miscommunication or inconsistent guidance. Delivering PAIs verbatim keeps the instructions validated, trained, and uniformly understood by every caller.