1. CHECKING A PERSON PART 2
Remember once you have called 911 you should always check that the unconscious person:
Has an open airway.
Is breathing normally.
Is bleeding severely.

2. CIRCULATION
When an adult’s heart stops beating, it is often because of heart disease. However if a child/infant’s heart stops it is usually the result of a respiratory emergency.

3. CIRCULATION
After checking the airway and breathing, quickly check the body for severe bleeding.
Look for blood-soaked clothes or blood spurting out of a wound.
Severe bleeding must be controlled as soon as possible.

4. SPECIAL CONSIDERATIONS
When giving rescue breaths or preforming CPR you may encounter special situations that will affect how you proceed.

5. AIR IN THE STOMACH
When giving rescue breaths, be careful to avoid forcing air into the person’s stomach instead of lungs.
Air in the stomach can cause gastric distention.
Gastric distention often causes the person to vomit.
If the person is unconscious they may aspirate stomach contents (forcing something down the airway into the lungs)

6. GASTRIC DISTENTION Common causes:
Breathing into the person with too much force (often occurs when the person’s head is not tilted back far enough).
Breathing too quickly (increases the pressure and causes air to enter the stomach).
Breathing into the person for longer than 1 second.
To avoid air in the stomach, keep the person’s head tilted back.

7. VOMITING When giving rescue breaths, the person may vomit.
If this happens, roll the person onto one side and wipe the mouth clean (use protective barrier when cleaning mouth).
Roll person on his/her back and continue giving care.

8. MOUTH TO NOSE BREATHING
Occasionally you will not be able to make an adequate seal over the person’s mouth (person’s mouth or jaw may be injured or your mouth may be too small to cover the person’s). If so, give mouth to nose rescue breaths:
Maintain head-tilt/chin-lift.
Use your other hand to close person’s mouth.
Seal your mouth tightly over the person’s nose and breathe.
Open the person’s mouth in between breaths to release air.

9. MOUTH TO NOSE BREATHING

10. MOUTH TO STOMA BREATHING
If patient has a stoma, you must give rescue breaths through the stoma (not through the nose or mouth).
Keep airway in neutral position (don’t flex chin or head).
Make air tight seal with lips or barrier device.
Blow for about 1 second.
If you are successful you should see chest rise and fall and hear/ feel air escape from the stoma.
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11. SUSPECTED HEAD, NECK OR SPINE INJURY
To give rescue breaths to a person who has a suspected head, neck or spine injury:
Minimize the movement of head and neck when opening airway.
Carefully tilt head and lift chin just enough to open airway.

12. PERSON WITH DENTURES
Only remove dentures if they become so loose that they block the airway or make it difficult for you to give breathes.

13. DROWNING VICTIMS
Give two rescue breaths once you determine there is no breathing.
If alone, you should give two minutes of care before call
Do not enter the water unless you are trained to perform in-water rescues.

14. H.A.IN.E.S. RECOVERY POSITION
If person is unconscious but breathing normally, normally they should not be moved. However if you have to leave the person or cannot maintain an open air way you need to put the person in the High Arm In Endangered Spine recovery position.

15. H.A.IN.E.S. RECOVERY POSITION FOR INFANTS
Carefully position the infant face-down along your forearm.
Support the infant’s head and neck with your other hand.
Keep infant’s nose and mouth clear.
Keep the head and neck slightly lower than the chest.