What should be prioritized when performing CPR on a pregnant patient?

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In the context of performing CPR on a pregnant patient, adjusting the compression location is crucial due to the physiological changes that occur during pregnancy. As the uterus enlarges, especially in the later stages, it can compress major blood vessels such as the inferior vena cava. This compression can significantly reduce blood return to the heart and ultimately affect cardiac output and the effectiveness of CPR.

By modifying the position of chest compressions, typically by shifting the compression location slightly higher and laterally (toward the left side), responders can help alleviate this pressure on the blood vessels, facilitating better circulation during resuscitation efforts. This adjustment helps optimize the effectiveness of compressions, leading to improved outcomes for both the mother and the fetus.

Maintaining high chest compressions and ensuring thorough airway management are also important components of CPR, but they do not specifically address the unique anatomical and physiological considerations presented by pregnancy. Similarly, while administering medications is critical in many resuscitation scenarios, the immediate adjustment of the compression location takes precedence to ensure the circulation is as effective as possible for the pregnant patient.

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