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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 â€‹â€‹â€‹â€‹â€‹â€‹

link how to do chest compressions / mouth to mouth 

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