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Look through the information provided in this case study and highlight all of the information that might concern you as a paramedic.

1 Given the chain of survival, high‐quality compressions are urgently required for this patient. What is your next move? Consider what you have just walked through.Moving the patient to the spacious lounge room you have just walked through is ideal. This will provide a better working area and ensure that good‐quality uninterrupted compressions can be achieved.

2 You have moved the patient out to the lounge room to a large area. Your partner is a qualified advanced care paramedic. What are the first steps you are going to take with this patient?If there are no signs of life, e.g. no pulse, or no normal breathing, chest compressions need to be started and continued while the patient’s chest is exposed by removing his pyjama top (cutting it off). The defibrillation pads can then be attached to the patient.