Board of Legal SpecializationPractice Exam

What is the first step in the adult in-hospital cardiac chain of survival?

1. Early defibrillation to restore heart rhythm

2. Integrated post-cardiac arrest care

3. Surveillance and prevention

4. Early CPR to keep oxygen-rich blood flowing

The correct answer is: Surveillance and prevention

The first step in the adult in-hospital cardiac chain of survival is surveillance and prevention. This step is crucial because it focuses on identifying patients at high risk for cardiac arrest and implementing measures to prevent such events from occurring. This proactive approach emphasizes monitoring patients closely and using strategies like routine checks and early interventions to address risk factors before they escalate into a cardiac emergency. By prioritizing surveillance and prevention, healthcare providers can significantly reduce the instance of cardiac arrests and improve overall patient outcomes. While other steps in the chain of survival, such as early CPR, early defibrillation, and integrated post-cardiac arrest care, are vital in the response to a cardiac event, the foundational emphasis on surveillance and prevention sets the stage for effective action and intervention when necessary.