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Your initial impression reveals severe life-threatening bleeding in an adult victim who appears to be unresponsive. Your next step should be:

  1. Control the bleeding with any available resources

  2. Open the airway and check for breathing and a pulse

  3. Perform a secondary assessment

  4. Immediately begin CPR

The correct answer is: Control the bleeding with any available resources

In this scenario, the victim is not breathing and does not have a pulse, suggesting their condition is life-threatening and requires immediate attention. Option B is incorrect because it should not be the next step if the victim is unresponsive. Option C is incorrect because in this situation, the primary focus should be on addressing the bleeding. Option D is incorrect because the victim does not have a pulse, indicating that CPR would not be effective at this time. Option A, controlling the bleeding with any available resources, is the best next step to prevent further blood loss and improve the victim's chances of survival.