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You are walking on the pool deck when the swim team coach suddenly collapses in front of you. During your primary assessment, you find that the victim does not have a pulse. You should:

  1. Give 2 ventilations before beginning CPR

  2. Give ventilations at a rate of about 1 every 5-6 seconds

  3. Immediately begin CPR using cycles of 15 compressions followed by 2 ventilations

  4. Immediately begin CPR using cycles of 30 compressions followed by 2 ventilations

The correct answer is: Give 2 ventilations before beginning CPR

If the victim does not have a pulse, the most important action is to start CPR immediately. A and B are incorrect as they both pause CPR for ventilations, which can delay blood flow to the vital organs and decrease the effectiveness of CPR. C is incorrect because it suggests using cycles of 15 compressions instead of the recommended 30 compressions. D is incorrect because it suggests using cycles of 30 compressions followed by only 2 ventilations, which is not enough ventilations to provide sufficient oxygen to the body.