a doctor, nurse, or experienced
first-aid worker. But if no one better qualified is available, take
charge yourself.
2. _Look for stoppage of breathing, and for serious bleeding._ These are
the two most life-threatening conditions you can do something about.
They demand _immediate_ treatment (see pages 58 and 61).
8. _Prevent shock, or treat it._ Shock, a serious condition of acute
circulatory failure, usually accompanies a severe or painful injury, a
serious loss of blood, or a severe emotional upset. If you _expect_
shock, and take prompt action, you can prevent it or lessen its
severity. This may save the patient's life. (Treatment of shock is
discussed on page 62).
4. _Don't move the patient immediately_. Unless there is real danger of
the patient receiving further injury where he is, he should not be moved
until breathing is restored, bleeding is stopped, and suspected broken
bones are splinted.
5. _Keep calm, and reassure the patient._ Keep him lying down and
comfortably warm, but do not apply heat to his body, or make him sweat.
6. _Never attempt to give liquids to an unconscious person_. If he is
not able to swallow, he may choke to death or drown. Also, don't give
him any liquids to drink if he has an abdominal injury.
IF THE PATIENT HAS STOPPED BREATHING
Quick action is required. You must get air into his lungs again
immediately or he may die. The best and simplest way of doing this is to
use mouth-to-mouth artificial respiration. Here is how to do it:
1. Place the patient on his back. Loosen his collar.
2. Open his mouth and use your fingers to remove any food or foreign
matter. If he has false teeth or removable dental bridges, take them
out.
3. Tilt the patient's head back so that his chin points upward. Lift his
lower jaw from beneath and behind so that it juts out. This will move
his tongue away from the back of his throat, so it does not block the
air passage to his lungs. Placing a pillow or something else under his
shoulders will help get his head into the right position. Some patients
will start breathing as soon as you take these steps, and no further
help is necessary.
4. Open your mouth as wide as possible, and place it tightly over the
patient's mouth, so his mouth is completely covered by yours. With one
hand, pinch his nostrils shut. With your other hand, hold his lower jaw
in a thrust-forward position and keep his head tilted back. With a baby
or small child, place y
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