Respuesta :
Answer:
Option D, call for help
Explanation:
When you determine a patient has suffered a cardiac arrest and is in need of cardiopulmonary resuscitation (CPR), the first step in your response should be to call for help, option D, and there are a couple of reasons for this.
First, calling for help can recruit bystanders to aid in the rescue. A passerby can call emergency services (EMS) or locate an automated external defibrillator (AED) if the cardiac arrest occurs in, say, a store. The passerby can also help in the rescue itself by doing chest compressions with you.
If no bystanders are available, calling EMS yourself can ensure that help is en route to your location while you perform chest compressions. As strange as it may sound, the patient is not going to become more unconscious while you dial 911. Get them on the phone and then start the CPR. If you do not know how to do CPR, they can walk you through performing CPR. By calling yourself, you can also notify them when the cardiac arrest occurred, when you started chest compressions, and alert EMS staff that you will need an AED (though, they likely were bringing one anyway).
In healthcare settings, you want to first call for help as well. This is because you cannot perform the most efficient and effective CPR alone. And with all the staff around, why should you? Everyone available will be trained in CPR and understand what roles need to be established and tasks completed to help the patient. Pull that code blue lever, press that code blue button!
Though the first instinct may be to immediately begin cardiac compressions, the first response should be calling for help.
Why Not Other Choices:
The first instinct is to begin chest compressions because time is vital and the more time the brain and heart go without oxygen circulating, the more tissue death occurs. But the rescuer does not typically achieve a return of spontaneous circulation (ROSC) without the proper equipment and adequate help.
The rescuer should call for help, but they should not leave the patient unattended. If help cannot be obtained by calling EMS or yelling for people in the vicinity, move immediately to chest compressions because this just became a one-man rescue. It may not be ideal, but one person alone can perform the entire job -- not as effective and efficient as a team, but it can be done.
Lastly, the blood was likely oxygenated enough when the patient suffered a cardiac arrest. The heart is just no longer pumping the blood. So before administering mouth-to-mouth, the person should call for help and then perform chest compressions.
