When you come across an unresponsive patient, the next step is:
Correct Answer: Check for carotid pulsations
Description: Shouting and shaking is checking for responsiveness: The patient is already described as unresponsive, i.e., not responding to shouts or shakes.
The next step in an unresponsive patient is to check for carotid pulsations; if not palpable, consider that the patient is in cardio-respiratory arrest and immediately initiate CPR.
CPR is initiated as Circulation -> Airway -> Breathing (CAB), not ABC any longer.
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