BLS
Unresponsive
CCMS-MED-SOP-001 §5
Scene safe. Unresponsive. Not breathing normally — including agonal gasps — is arrest until proven otherwise. High-quality CPR beats elegant airway theater.
Call 911 now. Do not debate this.
Give location, problem, and send a runner to meet EMS at the watched entry.
- 1
Gloves. Scene safe. Tap and shout from the front. Infants: tap the sole of the foot.
- 2
If not breathing normally: 911 and AED immediately. Send a runner to the watched entry to meet EMS.
- 3
Look for massive hemorrhage while you start compressions.
- 4
Hard floor. A pew cushion or playground mulch eats depth — move if you can do it in seconds.
Adult (puberty and beyond) — not breathing normally
Child or infant — not breathing normally
Unconscious but breathing adequately
Need an airway adjunct
NPA / OPA / BVM / LMA
This field guide does not replace 911, a medical director, or licensed clinical judgment. It does not authorize anyone to practice beyond license and current training.
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