What should the team do after discovering a patient is not breathing and does not have a pulse?

In a situation where a patient is not breathing and lacks a pulse, the most critical and immediate action to take is to begin chest compressions. This is essential because, in the absence of a pulse, the heart is not effectively pumping blood, which leads to inadequate blood flow to vital organs, particularly the brain. Starting chest compressions helps to circulate whatever oxygen remains in the blood to extend the window of opportunity for resuscitation.

Chest compressions should be delivered at a rate of 100 to 120 compressions per minute, with a depth of about 2 inches in adults, allowing full recoil between compressions. This technique is vital in keeping blood flow moving and can make a significant difference in the patient’s chances of survival.

After initiating chest compressions, other actions such as calling for help, using an AED, or administering ventilations can follow. However, the priority must always be to maintain circulation through compressions until advanced medical help arrives or the patient begins to show signs of recovery.