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Starting compressions while backup sets up the AED is the appropriate response when CPR is required. In a situation where an individual is unresponsive and not breathing normally, immediate action is crucial. The primary goal is to maintain blood circulation to vital organs until advanced medical assistance arrives.

Performing chest compressions is essential because it helps to artificially pump blood throughout the body, providing oxygen to the brain and other critical organs. Effective compressions can significantly increase the chance of survival and minimize brain damage during cardiac arrest.

While it is important to set up an Automated External Defibrillator (AED), the priority is to begin CPR immediately if needed, since every second counts in a cardiac emergency. Therefore, having someone else assist with the AED during your compressions can be highly effective, ensuring that both actions are being addressed simultaneously.

The other options do not prioritize the immediate needs of the casualty, such as waiting for medical professionals or simply monitoring breathing, which can delay life-saving actions. Additionally, providing a report to the captain, while important, does not contribute to the immediate response required in a CPR situation.