During primary surveys, what should be the priority if the patient is unresponsive?

In the context of a primary survey for an unresponsive patient, checking for pulse and breathing takes precedence as it directly addresses the patient's immediate medical needs. This assessment helps determine the patient's level of consciousness and whether they are experiencing respiratory or cardiac arrest. Recognizing whether the patient has a pulse or is breathing is crucial for guiding the subsequent actions needed for life-saving interventions.

If there is no pulse or breathing, the appropriate next step would be to initiate advanced cardiac life support measures, including chest compressions. However, this cannot occur without first establishing the status of the patient's circulation and respiration. Thus, initiating the survey with a check for pulse and breathing is fundamental in the emergency response protocol.

Although assessing for injuries and calling for additional help are also essential, they should follow the initial assessment of life-threatening conditions, which is the first focus of care in an unresponsive patient scenario. Addressing pulse and breathing is vital for ensuring the patient’s immediate survival.