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You are providing care to an adult who is unresponsive and not breathing as a result of a drowning. You give your first ventilation before performing CPR and notice that the chest does not rise. Which of the following should you do next?

  1. Blow into the mask more forcefully and then look for the chest to rise

  2. Change the position of the mask and then look for chest movement

  3. Give 5 back blows and then check the victim's mouth

  4. Re-tilt the victim's head and then attempt another ventilation

The correct answer is: Blow into the mask more forcefully and then look for the chest to rise

After giving your first ventilation and noticing that the chest does not rise, it is important to re-check your seal and make sure the mask is properly in place. If the chest still does not rise, you should try blowing more forcefully into the mask. Option B is not a correct course of action, as changing the position of the mask may cause you to lose your seal and decrease the effectiveness of the ventilation. Option C is not a correct course of action, as back blows are only recommended in infants and not adults. Option D is not a correct course of action, as re-tilting the head may not address the issue of the mask not being properly sealed. It is important to make sure the mask is properly sealed before attempting another ventilation.