ACEP First Aid Manual by American College of Emergency Physicians, Margaret Austin,

By American College of Emergency Physicians, Margaret Austin, Rudy Crawford, Vivien J. Armstrong, Gina M. Piazza

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As a result, the casualty will eventually lose consciousness, breathing will cease, the heart will stop, and death results. The airway must be kept open so that breathing can occur, allowing oxygen to enter the lungs and be circulated in the body. The priority of a first aider when treating any unconscious casualty is to assess for breathing and immediately begin CPR with chest compressions if breathing is absent. An automated external defibrillator (AED) may be required to “shock” the heart back into a normal rhythm.

Are any of them children or elderly? ■ MAKING AN AREA SAFE The conditions that give rise to an incident may still present a danger and must be eliminated if possible. It may be that a simple measure, such as turning off the ignition of a car to reduce the risk of fire, is sufficient. As a last resort, move the casualty to safety. Usually specialist help and equipment is required for this. When approaching a casualty, make sure you protect yourself: wear high-visibility clothing, gloves, and head protection if you have them.

92) and, ultimately, death. The airway is open and clear if the casualty is talking to you. ■ Breathing Is the casualty breathing normally? If the casualty is not breathing normally, call 911 for emergency help, then start chest compressions with rescue breaths (cardiopulmonary resuscitation/CPR). 46–48). 49–51). Your aim is to find out: ■ History What actually happened and any relevant medical history. ■ Symptoms Injuries or abnormalities that the casualty tells you about. ■ Signs Injuries or abnormalities that you can see.

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