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A nurse is teaching Hands Only Basic Life Support for adults in the community. What should the rescuer do first after determining that the person is not responding and the emergency medical system has been activated?

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Final answer:

To provide Hands-Only CPR to an adult after EMS has been activated, ensure safety, place the person on solid ground, perform chest compressions between the nipples at a depth of 2 inches and a rate of 100 to 120 compressions per minute until emergency personnel arrive.

Step-by-step explanation:

After determining that an adult is unresponsive and emergency medical services (EMS) have been activated, a rescuer should then ensure that the person is on stable ground and prepare to begin Hands-Only CPR, if they are not breathing normally. The first step is to check for safety and ensure that both you and the victim are not in any danger. Once safety is confirmed, the rescuer should proceed with the following steps:

  • Place the person carefully on their back if they are not already in this position.
  • Stand or kneel beside the person’s chest.
  • Place the heel of one hand in the center of the chest, between the nipples.
  • Place your other hand on top of the first and interlock your fingers.
  • Keep your arms straight and use your body weight to help you administer compressions.
  • Press down on the chest at least 2 inches deep and at a rate of 100 to 120 compressions per minute.

It is critical to start CPR promptly and to continue without interruption until emergency personnel arrive. Performing CPR as described can maintain the flow of blood through the body, particularly to the brain and heart, potentially saving the person’s life.

Remember, CPR should be administered on solid ground, as it is ineffective in water. If you encounter a drowning victim, the priority is to remove the person from the water before attempting CPR. Additionally, be mindful of any necessary legal considerations such as a Do Not Resuscitate (DNR) order, which should be respected in the event that it is present and known.

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