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What is the best action if a casualty is not breathing?

  1. Wait for help to arrive

  2. Put them in the recovery position

  3. Start CPR immediately

  4. Attempt to wake them by shaking

The correct answer is: Start CPR immediately

When a casualty is not breathing, the most critical and immediate action is to start CPR (cardiopulmonary resuscitation) right away. This is essential because the lack of breathing implies that the person is not delivering oxygen to the brain and vital organs, which can lead to irreversible damage within minutes. Performing CPR helps maintain blood flow and oxygen delivery to key organs until professional medical help can arrive. Initiating CPR involves chest compressions, which help circulate blood throughout the body, and rescue breaths, if trained individuals choose to include them. Every second counts; therefore, immediate action can significantly increase the chances of survival and recovery for someone who is unresponsive and not breathing. While other options may seem reasonable, they are not appropriate in an emergency where a person is not breathing. Waiting for help to arrive delays vital intervention, while putting someone in the recovery position is only applicable if they are breathing and responsive. Shaking the casualty to attempt to wake them will not address the underlying issue and could potentially worsen the situation. Thus, starting CPR is the most effective and life-saving action to take in this scenario.