Comprehensive and Detailed Explanation From Exact Extract:
Agonal respirations arenot effective breathingand can mimic gasping or snorting. They often occur incardiac arrest. However, before initiating chest compressions, the EMT mustconfirm pulselessnessby checking acarotid pulse for no more than 10 seconds(AHA 2020 BLS Guidelines).
Only after pulse confirmation (or absence) should compressions begin. Suctioning or ventilating is premature unless a pulse is found.
[References:, AHA BLS Provider Manual (2020) – Adult Basic Life Support Algorithm, NREMT Cardiac Arrest Management – Adult Assessment Flow, AAOS EMT Textbook – Chapter: Cardiac Arrest and Resuscitation, ]
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