What is the primary assessment sequence for a responsive adult or child in a water-related incident?

• A. Check breathing first, then call for help.
• B. Begin CPR immediately without checking responsiveness.
• C. Check responsiveness, call for help, open the airway if appropriate, check breathing, and begin CPR if there is no pulse or breathing.
• D. Place the victim on their back and wait.

Answer: (C)

The essential sequence is to quickly determine if the person is truly responsive, get help on the way, ensure a clear airway, check breathing, and start life-saving care if needed. Start by confirming responsiveness so you know whether to mobilize others or provide aid yourself. If they respond, you still need to assess breathing to decide next steps. Calling for help early brings EMS and equipment to the scene without delay. Open the airway only if it’s safe to do so (use jaw-thrust if there’s potential spinal injury, otherwise a gentle head tilt and chin lift). Then check for breathing to determine if they’re breathing normally. If there is no pulse or no breathing, begin CPR immediately. This order keeps the assessment focused and actions timely, which is crucial in a water rescue.