The most important step is recognizing that something is seriously wrong.
A person experiencing cardiac arrest will often:
Try speaking to them loudly and gently tapping their shoulders.
If they do not respond, treat the situation as an emergency.
Look for normal breathing.
Occasional gasping, snorting, or irregular breaths are NOT normal breathing.
If someone is unresponsive and not breathing normally, assume cardiac arrest and take action immediately.
You do not need to be certain.
If you suspect cardiac arrest, it is better to act quickly than to wait. Early CPR and early defibrillation save lives.