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
Open the window and shout for help. ■ Stay low if you have to cross a smoke-ﬁlled room: air is clearest at ﬂoor level. ■ If escaping through a high window, climb out backward feet ﬁrst and lower yourself to the full length of your arms before dropping down. Avoiding smoke and fumes Shut the door of the room you are in and put a rug or blanket against the door to keep smoke out. Open the window and shout for help. Keep as low as possible to avoid fumes in the room. 33 MANAGING AN INCIDENT ELECTRICAL INCIDENTS When a person is electrocuted, the passage of electrical current through the body may stun him, causing his breathing and heartbeat to stop.
Depth—are the breaths deep or shallow ■ Ease—are the breaths easy, diﬃcult or painful? ■ Noise—is the breathing quiet or noisy, and if noisy, what are the types of noise? 52 Checking a casualty’s breathing rate Observe the chest movements and count the number of breaths per minute. Use a watch to time breaths. For a baby or young child, place your hand on the chest and feel for movement. 108–09). Where arteries lie close to the skin surface, such as on the inside of the wrist and at the neck, this pressure wave can be felt as a pulse.
Remember, too, that a casualty faces the risk of injury from the same hazards that you face. If extrication from the scene is delayed, try to protect the casualty from any additional hazards. If you cannot make an area safe, call 911 for emergency help before performing ﬁrst aid. Stand clear until the emergency services have secured the scene. 44–45) to quickly carry out an initial assessment of the casualty or casualties to establish treatment priorities. If there is more than one casualty, attend to those 28 with life-threatening conditions ﬁrst.
ACEP First Aid Manual by American College of Emergency Physicians, Margaret Austin, Rudy Crawford, Vivien J. Armstrong, Gina M. Piazza