What is the first step in starting CPR on a victim found on land?

In a CPR situation on land, the first step involves checking for responsiveness, which helps determine if the person is in need of immediate care. If the victim is unresponsive and not breathing normally, starting with chest compressions is crucial. The rationale behind starting with compressions is based on the understanding that most cardiac arrests occur due to issues with the heart, and providing effective compressions ensures that blood is flowing to the vital organs, especially the brain. This action is critical in increasing the chances of survival, as it helps buy time until advanced medical help arrives.

While calling for emergency assistance is important, it is typically done after confirming unresponsiveness. Failure to immediately address the lack of circulation by starting compressions could result in irreversible damage due to oxygen deprivation. Therefore, beginning with chest compressions not only adheres to the latest CPR guidelines but is also the most effective immediate action one can take in such emergencies.