QuestionSBA
QuestionChoice
This is correct. Resuscitation is a team effort and it is important to be able to delegate tasks. Cardiopulmonary rescusitation can begin as long as help is on the way.
10027531
a
Call for help
QuestionChoice
This is incorrect. This might be necessary once advanced life support in in progess however it is not the most important initial management step.
10027532
b
Administer 500ml bolus of 0.9% saline through an IV cannula
QuestionChoice
This is incorrect. As soon as help is on the way CPR can be started however resuscitation is a team effort and the patient will have a more favourable outcome if tasks are delegated effectively.
10027534
d
Begin cardiopulmonary resuscitation (CPR)
QuestionChoice
This is incorrect. Although useful in managing an airway during cardiac arrest, it is not helpful at this stage.
10027533
c
Perform a jaw-thrust manouvre
QuestionChoice
This is incorrect. It is most important to call for help in this scenario. Administering five initial rescue breaths forms part of paediatric resuscitation guidelines. High quality CPR and early defibrillation are prioritised in adult resuscitation.
10027535
e
Administer five initial breaths through a bag-valve-mask (BVM)
Concept
Chapter
2693
4442
Advanced Life Support
Topic
161
Emergency Medicine
17904
A 60 year old male patient is recovering from a myocardial infarction on the cardiology ward. A medical student plans to obtain a blood sample, but on arrival at the cubicle, the patient is unresponsive.

On examination, there is obvious work of breathing and no central pulse.

Which of the following is the most important initial management step?
a