During a dialysis session, if a patient goes into cardiac arrest, what is the first action for the dialysis technician?

• A. Call for assistance
• B. Start chest compressions
• C. Defibrillate
• D. Call a family member

Answer: (A)

Getting help on the way is the first action in a cardiac arrest. In a dialysis unit, rapidly activating the emergency response system brings trained personnel and the AED to the scene, which is essential for survival. Once help is being summoned, you should begin chest compressions immediately if there is no pulse and no normal breathing, so circulation is restored while waiting for further aid. Defibrillation comes as soon as an AED is available and a shockable rhythm is identified, not before help has been called. Calling a family member isn’t appropriate as the immediate response in a code.