During a code blue, what is the first priority?

• A. Begin high-quality chest compressions if there is no pulse
• B. Call and activate the code
• C. Attach defibrillator
• D. Administer aspirin

Answer: (A)

When a code blue happens, the patient is in cardiac arrest with no effective circulation. The primary goal is to restore perfusion to vital organs, so beginning high-quality chest compressions immediately is the most critical action. Compressions provide the circulation the brain and heart need while the team obtains and applies a defibrillator if a shockable rhythm is present and delivers advanced life support. Activating the code and calling for help should happen right away, but they don’t replace the need to start compressions now. Administering aspirin isn’t appropriate during resuscitation; it’s used for non-arrest chest pain/ACS in stable patients, not during a code. So the first priority is to start chest compressions without delay.