First, I would ensure the scene is safe for both the patient and myself. Then, I would check for responsiveness by tapping the patient and shouting, 'Are you okay?' If there’s no response, I would immediately call for emergency medical services (EMS) and begin CPR if the patient is not breathing or only gasping. I would also check for a pulse for no more than 10 seconds. If no pulse is detected, I would start chest compressions at a rate of 100-120 per minute, ensuring proper depth and allowing full chest recoil.

In a multi-patient scenario, I would use the triage system to prioritize care based on the severity of each patient’s condition. I would first assess for life-threatening conditions such as severe bleeding, airway obstruction, or cardiac arrest. Patients with immediate life-threatening issues would receive care first, followed by those with serious but non-life-threatening conditions. I would also delegate tasks to other responders if available, ensuring efficient use of resources and timely care for all patients.

If a patient refuses care, I would first ensure they are fully informed about their condition and the potential risks of refusing treatment. I would calmly explain the importance of receiving care and document their refusal, including their mental capacity to make such a decision. If the patient is incapacitated or in immediate danger, I would provide necessary care under implied consent. However, I always respect the patient’s autonomy and decisions whenever possible.

In high-stress situations, I rely on my training and experience to stay focused and composed. I prioritize tasks, take deep breaths to remain calm, and follow established protocols to ensure effective care. I also communicate clearly with team members and patients to maintain control of the situation. By staying organized and methodical, I can provide the best possible care even under pressure.

I adhere to standard precautions, including wearing personal protective equipment (PPE) such as gloves, masks, and gowns when necessary. I practice proper hand hygiene before and after patient contact and use disposable equipment whenever possible. I also ensure that contaminated materials are disposed of safely and that surfaces are cleaned and disinfected. These measures help minimize the risk of infection transmission to both patients and myself.