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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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. By checking the recognition features of the different injuries and conditions explained in the chapters of this book you can identify what may be wrong.

Take the following precautions: ■ Park safely, well away from the site of the accident, set your hazard lights flashing, and put on a high-visibility jacket/vest if you have one. ■ Set up warning triangles or flares (or position another vehicle that has hazard lights) at least 50 yards (45 meters) from the accident in each direction; bystanders can do this while you attend to the casualty. If possible, send helpers to warn oncoming drivers to slow down. Make vehicles safe. For example, switch off the ignition of any damaged vehicle.

66–67). These act as a mechanical aid to the heart in order to get blood flowing around the body. Pushing vertically down on the center of the chest increases the pressure in the chest cavity, expelling blood from the heart and forcing it into the tissues. As pressure on the chest is released, the chest recoils, or comes back up, and more blood is “sucked” into the heart; this blood is then forced out of the heart by the next compression. To ensure that the blood is supplied with enough oxygen, chest compressions should be combined with rescue breathing (opposite).

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