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An unresponsive 79-year-old female has agonal respirations. You should
Correct Answer: C
Agonal respirations are not effective breathing and can mimic gasping or snorting. They often occur in cardiac arrest. However, before initiating chest compressions, the EMT must confirm pulselessness by checking a carotid 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