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The primary assessment of checking the ABCDEs in ACLS is for unconscious patients in full arrest that are cardiac or respiratory in nature. ACLS healthcare providers should conduct the primary assessment after completing the basic life support assessment. And remember, this is comprised of checking for responsiveness with a tap and a shout, if theyre unresponsive were gonna call 911 or call a code depending on the area in which you work. Check for breathing and a pulse and then attach the defibrillator and possibly defibrillate if there is no pulse. For conscious patients who may need more advanced assessments and management techniques: the healthcare professional will conduct the primary assessment first. In the primary assessment, you continue to assess and perform an action as appropriate until the patient is transferred to the next level of care. Many times, members of a high-performance team will perform assessments and actions in ACLS simultaneously. Now its important to reme