A 72 year old male unresponsive with slow, gasping respirations. You should?

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Gasps in an unresponsive patient are not effective breathing, and the immediate priority is to restore oxygen delivery. Begin rescue ventilations with a bag-valve mask to support the airway and provide breaths right away. This helps oxygenate the blood while you quickly assess circulation. If a pulse is present, continue ventilations and monitor. If no pulse is detected, start chest compressions. Defibrillation is not the next step unless you have a rhythm that requires a shock.