If someone has a pulse but clearly is cyanotic and some breathing going on could be agonal what do you do?

1. Assess the situation:

* Check the responsiveness of the person.

* Determine if there are any signs of imminent death, such as gurgling or gasping respirations, or profound hypotension.

* Obtain immediate help by activating emergency medical services (EMS).

2. Start CPR:

* Start CPR, even if there is a pulse.

- For adults: Give 30 chest compressions followed by 2 rescue breaths.

- For children: Compressions at a rate of 100 per minute with a depth of 1/3 the chest diameter, and provide 2 rescue breaths.

- For infants: Give 5 chest compressions followed by 1 rescue breath.

* Continue CPR until EMS arrives or the person starts breathing independently.

3. Monitor the person:

* As you provide chest compressions and breaths, observe the person's chest, making sure that the compressions are causing visible chest movement.

* Continue monitoring the pulse periodically to reassess the need for CPR.

4. Use an automated external defibrillator (AED) if available:

* Follow the instructions given by the AED for proper placement, and continue CPR as instructed.

5. Be prepared to provide continued CPR until professional help arrives.