Not Breathing
Not breathing will kill you within a few minutes
Patients not breathing will not show any signs of life
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This is an emergency and someone needs to call 999 and tell them the patient is not breathing
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Particularly after a bad crash, bystanders may worry about injuring the spine , but you need to act rapidly or they will die.
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If the patient is face down or on their side you will need to roll them over onto their back.
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(ideally , if there is more than one of you , you can roll them over together minimising spinal movement , but do not delay if help is not immediately available)
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If there are no signs of life and not breathing you need to act fast
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If there is massive haemorrhage (spurting blood) - you need to address that first then come back here)
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Helmet off
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Their helmet needs to come off to open the airway
ideally this is a two person job, but do it on your own if necessary
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(i will add a video of how to remove a helmet as safely as possible on your own )
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Open Airway
once the helmet is off - you need to open the airway
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A jaw thrust is the ideal technique in trauma (You may have previously been taught the chin lift in other CPR lessons)
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CPR with breaths and chest compressions
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If the patient does not start breathing with the airway open..Then start CPR​ - get help to call 999 and describe it as a "traumatic arrest" to get the right people on route
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CPR should ideally contain mouth to mouth breaths delivered by you (and not just chest compressions) and continued as 30 compressions to 2 breaths until EMS arrives.
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A pocket mask or face shield can protect you if you do not wish to do mouth to mouth on a stranger
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link to face shield / pocket mask
link to trauma CPR training ​​​​​​
link how to do chest compressions / mouth to mouth
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