While providing CPR instructions via Protocol C to an adult cardiac arrest victim, the caller reports the patient vomits just after the instructions from panel 8 were successfully given. What should the EMD do next?

• A. End the call
• B. Read the instructions from panel 15, then return to sequence
• C. Repeat the panel 8 instructions
• D. Pause and reassess

Answer: (B)

Vomiting during CPR means airway protection becomes the priority before continuing chest compressions. The protocol has a specific panel that handles vomiting and airway management. You should read and follow those instructions (to clear and protect the airway, including suction if available and appropriate repositioning), then immediately return to the CPR sequence to resume compressions and breaths. This approach minimizes delays and reduces aspiration risk. Ending the call or simply replaying the initial CPR steps without addressing the airway would waste valuable time and could worsen outcomes, while briefly pausing without addressing airway needs isn’t appropriate. The necessary action is to follow the vomiting/airway management guidance and then return to the CPR steps.