By American College of Emergency Physicians, Margaret Austin, Rudy Crawford, Vivien J. Armstrong, Gina M. Piazza
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Extra resources for ACEP First Aid Manual
If there is still no response, he is unconscious. If the casualty responds and makes eye contact or some other gesture, he is conscious. 54–87). Conditions that aﬀect the circulation of blood can be life threatening. 112–13). 46–48). AIRWAY The ﬁrst step is to check that a casualty’s airway is open and clear. If a casualty is alert and talking to you, it follows that the airway is open and clear. 59). 66–67). PRIMARY SURVEY NO ■ If the casualty is conscious, treat conditions such as choking or suﬀocation that cause the airway to be blocked.
Alternatively, throw him a ﬂoat. If you are a trained lifesaver, there is no 2 danger to yourself, and the casualty is unconscious, wade or swim to the casualty and tow him ashore. If you cannot do this safely, call 911 for emergency help. Once the casualty is out of the water, shield 3 him from the wind, if possible. 186–88). If possible, replace any wet clothing with dry clothing. Arrange to take or send the casualty to the 4 hospital, even if he seems to have recovered completely. If you are at all concerned, call 911 for emergency help.
If he is alert and/or talking to you, he will be breathing. However, it is important to note the rate, depth, and ease with which he is breathing. 102) that cause breathing diﬃculty require urgent treatment. If an unconscious casualty is not breathing, the heart will stop. 82–83). RESPONSE CIRCULATION At this point you need to make a quick assessment to ﬁnd out whether a casualty is conscious or unconscious. Observe the casualty as you approach. Introduce yourself even if he does not appear to be responding to you.
ACEP First Aid Manual by American College of Emergency Physicians, Margaret Austin, Rudy Crawford, Vivien J. Armstrong, Gina M. Piazza