What are the key steps in the immediate management of a patient experiencing cardiac arrest in a primary care setting?

Guideline-aligned answer with reasoning, red flags and references. Clinically reviewed by Dr Kola Tytler MBBS CertHE MBA MRCGP.

Posted: 22 August 2025Updated: 22 August 2025 Guideline-Aligned (High Confidence) Clinically Reviewed
Dr Kola Tytler MBBS CertHE MBA MRCGPClinical Lead • iatroX

Key steps in the immediate management of a patient experiencing cardiac arrest in a primary care setting:

  • Call for emergency help immediately: Activate the emergency response system to ensure rapid arrival of advanced medical support.
  • Start cardiopulmonary resuscitation (CPR) immediately: Begin chest compressions and rescue breaths as per resuscitation guidelines to maintain circulation and oxygenation.
  • Use an automated external defibrillator (AED) as soon as available: Apply the AED promptly and follow its prompts to deliver a shock if indicated, as early defibrillation improves survival.
  • Continue CPR until advanced help arrives or the patient shows signs of recovery: Maintain high-quality chest compressions with minimal interruptions.
  • Ensure airway patency and provide oxygen if possible: Support breathing and oxygen delivery to optimise patient outcomes.
  • Prepare for transfer to hospital: Arrange urgent transfer once the patient is stabilised or as soon as advanced care is available, without delaying initial resuscitation efforts.

These steps align with the principles of immediate management of acute cardiac emergencies in community settings, emphasising rapid recognition, prompt CPR, early defibrillation, and urgent transfer to hospital care ,.

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