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Cyanotic Patient with Agonal Breathing: Immediate CPR & AED Protocol

This is a cardiac arrest scenario. Cyanosis + agonal gasps = pulseless arrest until proven otherwise. Activate EMS immediately.

Immediate Actions (BLS/ACLS)

  1. Check responsiveness & breathing: Agonal gasps ≠ normal breathing.
  2. Call 911 / activate code: Get AED.
  3. Start high-quality CPR:
    • Adults: 30 compressions (2–2.4", 100–120/min) : 2 breaths.
    • Children: 15:2 (2 rescuers) or 30:2 (single); depth 1/3 chest.
    • Infants: 15:2 (2 rescuers) or 30:2 (single); 2-finger or 2-thumb technique.
  4. Apply AED ASAP: Follow prompts; minimize interruptions.
  5. Continue CPR until ROSC, AED reanalysis, or EMS takes over.

Key Points

  • Agonal breathing is a sign of cardiac arrest—start CPR.
  • Compression depth/rate critical; allow full recoil.
  • Rotate compressors every 2 min.
  • Post-ROSC: Targeted temperature management, coronary angiography, neuroprognostication.

This is not a substitute for certified BLS/ACLS training.

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