Welcome to the FirstVoice First Aid and CPR Assist, or Emergency Instruction Device. Please select the
proper category or training button on the FirstVoice keypad. Listen to the instructions provided and press NEXT,
or answer YES/NO to continue. Press BACK to repeat instructions.
First, check to be certain the scene is safe and visually assess the area for any clues about the emergency. NEXT
Is it safe for you to approach the victim?
You have indicated the scene is not safe. Do not put yourself in jeopardy. Wait for advanced care or other assistance and do not approach victim! NEXT
If 911 has not been called, have someone call this or your designated emergency number. NEXT
Keep victim comfortable and seek appropriate medical help. Press the arrow keys to repeat any instructions or press the Heat/Cold button to begin these instructions again. END
Is victim conscious and breathing?
Grab available first aid supplies and AED, if available and put on protective items such as safety gloves. Identify yourself and ask the victim for permission to provide care. If permission is refused, do not proceed. Call 911 or your designated emergency contact number. NEXT
Signs of heat exhaustion include muscle cramps, nausea, dizziness, headache, fatigue, and heavy sweating. NEXT
Heat stroke includes all the symptoms of heat exhaustion plus vomiting, red hot or dry skin, weak breathing or pulse, syncope or fainting, confusion or seizures and changes in consciousness or loss of consciousness. NEXT
Is this a suspected heat stroke?
If 911 has not been called, have someone call this or your designated emergency number. NEXT
If possible immerse victim up to the chin in cold water. NEXT
Heat stroke requires emergency treatment with IV fluids. Call 911 immediately. Do not force the victim to drink liquids. NEXT
If the victim becomes unconscious or unresponsive the rescuer should carefully support the victim to the ground and begin CPR chest compressions. NEXT
High body temperatures may cause seizures. Press the Seizure button if seizures occur. NEXT
Is victim nauseated or disoriented?
Have victim slowly drink small sips of water. Move victim to a cool environment (such as an air conditioned vehicle or room). Loosen or remove clothing and fan victim. Apply cold packs or cool, wet cloths to the neck, groin, and armpits. Rapid cooling may cause vomiting. Place victim in recovery position, lying on his side, and make sure his airway remains clear.NEXT
Encourage the victim to drink cool liquids containing carbohydrates and electrolytes. NEXT
Monitor and calm the victim. If at any time the victim loses consciousness or stops breathing, press CPR button. Forward past instructions already heard. NEXT
If the victim appears stable gather whatever information you can from the victim, family members, or bystanders until advanced care arrives. Press the OTHER button for a list of questions to ask. NEXT
As soon as possible after the victim is treated and stabilized clean up any blood or body fluids left in the area using safety gloves. If a Bloodborne Pathogens Cleanup Kit is available, follow the instructions for use. When finished, wash hands. NEXT
Keep victim comfortable and seek appropriate medical help. Press the arrow keys to repeat any instructions or press the Heat/Cold button to begin these instructions again. END
Is this a heat exhaustion-related emergency?
Is victim nauseated or disoriented?
Have the victim lie or sit down in the position most comfortable for him. NEXT
If the victim becomes unconscious or unresponsive the rescuer should carefully support the victim to the ground and begin CPR chest compressions. NEXT
Have victim slowly drink small sips of water. Move victim to a cool environment (such as an air conditioned vehicle or room). Loosen or remove clothing and fan victim. Apply cold packs or cool, wet cloths to the neck, groin, and armpits. Rapid cooling may cause vomiting. Place victim in recovery position, lying on his side, and make sure his airway remains clear.NEXT
Encourage the victim to drink cool liquids containing carbohydrates and electrolytes. NEXT
Monitor and calm the victim. If at any time the victim loses consciousness or stops breathing, press CPR button. Forward past instructions already heard. NEXT
High body temperatures may cause seizures. Press the Seizure button if seizures occur. NEXT
Signs of shock include: cold sweat, chills, weakness, anxiety, fast or irregular breathing, pale or bluish lips and fingernails, confusion, and unresponsiveness. If any of these signs appear, press the Bleeding/Shock button. Forward past any instructions already heard. NEXT
As soon as possible after the victim is treated and stabilized clean up any blood or body fluids left in the area using safety gloves. If a Bloodborne Pathogens Cleanup Kit is available, follow the instructions for use. When finished, wash hands. NEXT
Keep victim comfortable and seek appropriate medical help. Press the arrow keys to repeat any instructions or press the Heat/Cold button to begin these instructions again. END
If 911 has not been called, have someone call this or your designated emergency number. NEXT
Move the victim to a cool environment (such as an air conditioned vehicle or room). Loosen or remove clothing and fan victim. Apply cold packs or cool, wet cloths to the neck, groin, and armpits. Rapid cooling may cause vomiting. Place victim in recovery position, lying on his side, and make sure his airway remains clear. NEXT
Encourage the victim to drink cool liquids containing carbohydrates and electrolytes. NEXT
Monitor and calm the victim. If at any time the victim loses consciousness or stops breathing, press CPR button. Forward past instructions already heard. NEXT
High body temperatures may cause seizures. Press the Seizure button if seizures occur. NEXT
Signs of shock include: cold sweat, chills, weakness, anxiety, fast or irregular breathing, pale or bluish lips and fingernails, confusion, and unresponsiveness. If any of these signs appear, press the Bleeding/Shock button. Forward past any instructions already heard. NEXT
As soon as possible after the victim is treated and stabilized clean up any blood or body fluids left in the area using safety gloves. If a Bloodborne Pathogens Cleanup Kit is available, follow the instructions for use. When finished, wash hands. NEXT
Keep victim comfortable and seek appropriate medical help. Press the arrow keys to repeat any instructions or press the Heat/Cold button to begin these instructions again. END
Signs of hypothermia include: shivering, numbness, apathy or change in consciousness, slowed breathing, and/or slow or irregular pulse. NEXT
Do you suspect hypothermia?
If 911 has not been called, have someone call this or your designated emergency number. NEXT
Monitor and calm the victim. If at any time the victim loses consciousness or stops breathing, press CPR button. Forward past instructions already heard. NEXT
If the victim is far from advanced care or EMS is delayed begin active rewarming. NEXT
Carefully help the victim move to a warm environment. Remove wet clothing and dry the victim. Have him lie down and cover with blankets or dry clothing. Handle affected area carefully without rubbing. Hot water bottles or packs may be used if first wrapped in a cloth. Do NOT warm person too quickly. NEXT
Warm the victim slowly and keep him comfortable. If he is alert, offer a warm liquid to drink that does not contain alcohol or caffeine. NEXT
Signs of frostbite include: tingling, aching, or loss of feeling in the affected body part and/or waxy, cold, or discolored skin. NEXT
If the victim has serious frostbite and is far from a medical facility and there is no danger of refreezing, the frostbitten area may be immersed in warm water until color and warmth return to that area. Water temperature should NOT exceed 105 degrees F or be uncomfortable to the touch. Carefully dry area and loosely wrap with sterile dressing. Place gauze between frostbitten fingers and toes. Do not break blisters. NEXT
Minor frostbite can be treated with simple rapid rewarming using skin to skin contact. Chemical warmers should not be placed on frostbitten tissue as they can cause burns. NEXT
Signs of shock include: cold sweat, chills, weakness, anxiety, fast or irregular breathing, pale or bluish lips and fingernails, confusion, and unresponsiveness. If any of these signs appear, press the Bleeding/Shock button. Forward past any instructions already heard. NEXT
If the victim appears stable gather whatever information you can from the victim, family members, or bystanders until advanced care arrives. Press the OTHER button for a list of questions to ask. NEXT
Keep victim comfortable and seek appropriate medical help. Press the arrow keys to repeat any instructions or press the Heat/Cold button to begin these instructions again. END
Signs of frostbite include: tingling, aching, or loss of feeling in the affected body part and/or waxy, cold, or discolored skin. NEXT
Remove any wet clothing and dry and cover the victim to prevent hypothermia. Advise victim to seek appropriate medical care. NEXT
If the victim has serious frostbite and is far from a medical facility and there is no danger of refreezing, the frostbitten area may be immersed in warm water until color and warmth return to that area. Water temperature should NOT exceed 105 degrees F or be uncomfortable to the touch. Carefully dry area and loosely wrap with sterile dressing. Place gauze between frostbitten fingers and toes. Do not break blisters. NEXT
Minor frostbite can be treated with simple rapid rewarming using skin to skin contact. Chemical warmers should not be placed on frostbitten tissue as they can cause burns. NEXT
Monitor and calm the victim. If at any time the victim loses consciousness or stops breathing, press CPR button. Forward past instructions already heard. NEXT
Signs of shock include: cold sweat, chills, weakness, anxiety, fast or irregular breathing, pale or bluish lips and fingernails, confusion, and unresponsiveness. If any of these signs appear, press the Bleeding/Shock button. Forward past any instructions already heard. NEXT
Keep victim comfortable and seek appropriate medical help. Press the arrow keys to repeat any instructions or press the Heat/Cold button to begin these instructions again. END
First, check to be certain the scene is safe and visually assess the area for any clues about the emergency. NEXT
Is it safe for you to approach the victim?
You have indicated the scene is not safe. Do not put yourself in jeopardy. Wait for advanced care or other assistance and do not approach victim! NEXT
If 911 has not been called, have someone call this or your designated emergency number. NEXT
Press arrow keys to repeat any instructions or press the Eye button to begin these instructions again.. END
Is victim conscious and breathing?
Grab available first aid supplies and an AED, if available, and put on protective items such as safety gloves. Identify yourself and ask the victim for permission to provide care. If permission is refused, do not proceed. Call 911 or your designated emergency contact number. NEXT
If there is severe bleeding of the eye, be aware that there may be injuries to the head, neck, or spine or broken facial bones. Do not apply pressure to the eye itself. Treat other life threatening symptoms or severe bleeding injuries first. NEXT
If you suspect head, neck, or spine injury, press the Head / Neck / Spine button now. Do not move the victim. Otherwise, check to be certain the scene is safe. Move the victim away from hazards. NEXT
Check the victim's entire body for other signs of injury. NEXT
If there are any other life threatening injuries press the appropriate emergency button now. NEXT
Try to determine the source of the eye injury. NEXT
Is this a major bleeding situation (with a lot of blood lost in a short time)?
Is this ONLY a severe bleeding injury of the eye or area around the eye?
Is there an object, substance, or chemical in the eye?
Is there an object embedded in or protruding from the eye?
If 911 has not been called, have someone call this or your designated emergency contact number. NEXT
If there are any other life threatening injuries press the appropriate emergency button now. NEXT
Monitor and calm the victim. If at any time the victim loses consciousness or stops breathing, press CPR button. Forward past instructions already heard. NEXT
Check your supplies for a first aid manual or guide that provides illustrations for more information and guidance. NEXT
Do not try to remove the object. Do not put any ointment or solution in the eye. Try to stabilize the object as best you can by loosely securing gauze pads around the object with tape. Cover with a paper cup if available and tape in place for added support. Do not put any direct pressure on the object or the eye. NEXT
Place an eye patch over the other eye and secure with tape to help minimize movement in the injured eye. NEXT
Keep victim calm and wait for advanced care to arrive. NEXT
Signs of shock include: cold sweat, chills, weakness, anxiety, fast or irregular breathing, pale or bluish lips and fingernails, confusion, and unresponsiveness. If any of these signs appear, press the Bleeding/Shock button. Forward past any instructions already heard. NEXT
If the victim appears stable gather whatever information you can from the victim, family members, or bystanders can from the victim, family members, or bystanders until advanced care arrives. Press the OTHER button for a list of these questions to ask. NEXT
As soon as possible after the victim is treated and stabilized clean up any blood or body fluids left in the area using safety gloves. If a Bloodborne Pathogens Cleanup Kit is available, follow the instructions for use. When finished, wash hands. NEXT
Press arrow keys to repeat any instructions or press the Eye button to begin these instructions again. END
Is there a chemical in the eye?
If 911 has not been called, have someone call this or your designated emergency contact number. NEXT
If there are any other life threatening injuries press the appropriate emergency button now. NEXT
Monitor and calm the victim. If at any time the victim loses consciousness or stops breathing, press CPR button. Forward past instructions already heard. NEXT
If the skin around the eye is bleeding, apply gentle pressure with gauze pads to control the bleeding. NEXT
Try to identify the chemical that caused the injury. In the U.S. contact the Poison Control Center at 800-222-1222 for assistance and provide information about the chemical to responders who are enroute. NEXT
In Canada Poison Control is 800-268-9017. NEXT
If a specific antedote is available administer per instructions if trained to do so or according to Poison Control Center or EMS dispatch assistance. NEXT
Take victim to eye wash station if available and flush eye for 15-20 minutes or advanced care arrives. Flush away from uninjured eye. NEXT
Otherwise, obtain eye wash from your first aid supplies. Gently hold eye open with fingers, and pour eye wash in inner corner (near the nose) allowing it to rinse over the eye to the outer corner. Do not force eye open if swollen or too painful. If it won't open, pour eye wash over eye as best possible. Continue rinsing with large volumes of water until advanced care arrives. NEXT
Signs of shock include: cold sweat, chills, weakness, anxiety, fast or irregular breathing, pale or bluish lips and fingernails, confusion, and unresponsiveness. If any of these signs appear, press the Bleeding/Shock button. Forward past any instructions already heard. NEXT
If the victim appears stable gather whatever information you can from the victim, family members, or bystanders can from the victim, family members, or bystanders until advanced care arrives. Press the OTHER button for a list of these questions to ask. NEXT
Press arrow keys to repeat any instructions or press the Eye button to begin these instructions again. END
Is there other foreign matter in the eye?
If there are any other life threatening injuries press the appropriate emergency button now. NEXT
Monitor and calm the victim. If at any time the victim loses consciousness or stops breathing, press CPR button. Forward past instructions already heard. NEXT
If the skin around the eye is bleeding, apply gentle pressure with gauze pads to control the bleeding. NEXT
Have victim blink eyes to try to remove irritant. If possible, remove contact lenses. Obtain eye wash from first aid supplies. Gently hold eye open with fingers and pour eye wash in inner corner (near the nose) rinsing over eye to outer corner. Do not force eye open if swollen/too painful. If it won't open, pour eye wash over eye as best possible. NEXT
Advise the victim to seek appropriate medical care if eye is still irritated after rinsing or if victim experiences changes in eyesight. NEXT
Press arrow keys to repeat any instructions or press the Eye button to begin these instructions again. END
Is the eye cut, protruding or is the area around it bleeding?
If the eye itself is damaged or there is severe bleeding, assign someone to call 911 or your designated emergency number. NEXT
If there is severe bleeding of the eye, be aware that there may be injuries to the head, neck, or spine or broken facial bones. Do not apply pressure to the eye itself. Treat other life threatening symptoms or severe bleeding injuries first. NEXT
If there are any other life threatening injuries press the appropriate emergency button now. NEXT
Monitor and calm the victim. If at any time the victim loses consciousness or stops breathing, press CPR button. Forward past instructions already heard. NEXT
Do not apply pressure. Fold an eye patch in half and gently place it over the closed eyelid. Cover this with another flat patch and gently secure with tape. NEXT
Place an eye patch over the other eye and secure with tape to help minimize movement in the injured eye. NEXT
If the skin around the eye is bleeding, apply gentle pressure with gauze pads to control the bleeding. NEXT
Superficial wounds should be cleaned until there is no foreign matter in the wound. NEXT
Once bleeding stops, cover with a bandage or clean gauze and seek appropriate medical care. Apply ice pack over the dressing if bumps, bruises, or swelling are present. NEXT
Signs of shock include: cold sweat, chills, weakness, anxiety, fast or irregular breathing, pale or bluish lips and fingernails, confusion, and unresponsiveness. If any of these signs appear, press the Bleeding/Shock button. Forward past any instructions already heard. NEXT
Follow up by having the victim seek appropriate medical care. NEXT
As soon as possible after the victim is treated and stabilized clean up any blood or body fluids left in the area using safety gloves. If a Bloodborne Pathogens Cleanup Kit is available, follow the instructions for use. When finished, wash hands. NEXT
Press arrow keys to repeat any instructions or press the Eye button to begin these instructions again. END
Has victim been struck in or near the eye?
If the eye itself is damaged or there is severe bleeding, assign someone to call 911 or your designated emergency number. NEXT
If there is severe bleeding of the eye, be aware that there may be injuries to the head, neck, or spine or broken facial bones. Do not apply pressure to the eye itself. Treat other life threatening symptoms or severe bleeding injuries first. NEXT
Monitor and calm the victim. If at any time the victim loses consciousness or stops breathing, press CPR button. Forward past instructions already heard. NEXT
If the skin around the eye is bleeding, apply gentle pressure with gauze pads to control the bleeding. NEXT
If there is also severe bleeding of the eye, do not apply pressure to the eye itself. Fold an eye patch in half and gently place it over the closed eyelid. Cover this with another flat patch and gently secure with tape. NEXT
Place an eye patch over the other eye and secure with tape to help minimize movement in the injured eye. NEXT
Superficial wounds should be cleaned until there is no foreign matter in the wound. NEXT
Once bleeding stops, cover with a bandage or clean gauze and seek appropriate medical care. Apply ice pack (for up to 20 minutes) over the dressing if bumps, bruises, or swelling are present. NEXT
If there are any other life threatening injuries press the appropriate emergency button now. NEXT
Signs of shock include: cold sweat, chills, weakness, anxiety, fast or irregular breathing, pale or bluish lips and fingernails, confusion, and unresponsiveness. If any of these signs appear, press the Bleeding/Shock button. Forward past any instructions already heard. NEXT
Follow up by having the victim seek appropriate medical care. NEXT
As soon as possible after the victim is treated and stabilized clean up any blood or body fluids left in the area using safety gloves. If a Bloodborne Pathogens Cleanup Kit is available, follow the instructions for use. When finished, wash hands. NEXT
Press arrow keys to repeat any instructions or press the Eye button to begin these instructions again. END
Is this a flash or welding injury to the eye?
If 911 has not been called, have someone call this or your designated emergency contact number. NEXT
Monitor and calm the victim. If at any time the victim loses consciousness or stops breathing, press CPR button. Forward past instructions already heard. NEXT
If there are any other life threatening injuries press the appropriate emergency button now. NEXT
Fold an eye patch in half and place it over the closed eyelid. Cover this with another flat patch and gently secure with tape. To soothe the burn, moisten the patches with eyewash saline solution until they are visibly wet. NEXT
Place an eye patch over the other eye and secure with tape to help minimize movement in the injured eye. NEXT
Signs of shock include: cold sweat, chills, weakness, anxiety, fast or irregular breathing, pale or bluish lips and fingernails, confusion, and unresponsiveness. If any of these signs appear, press the Bleeding/Shock button. Forward past any instructions already heard. NEXT
Follow up by having the victim seek appropriate medical care. NEXT
Press arrow keys to repeat any instructions or press the Eye button to begin these instructions again. END
If there are any other life threatening injuries press the appropriate emergency button now. NEXT
Monitor and calm the victim. If at any time the victim loses consciousness or stops breathing, press CPR button. Forward past instructions already heard. NEXT
If the victim has experienced full or partial loss of vision or visual changes such as flashes of light, dark specks, or other floaters. These can be signs of retinal detachment and require immediate medical attention. NEXT
Follow up by having the victim seek appropriate medical care. NEXT
Press arrow keys to repeat any instructions or press the Eye button to begin these instructions again. END
Before helping the victim, make sure the scene is safe. Do not put yourself in danger. Do not approach or touch an electrical shock victim until power source is turned off. Put out flames or move the victim from the source of the burn if still an immediate threat. NEXT
Is it safe for you to approach the victim?
You have indicated the scene is not safe. Do not put yourself in jeopardy. Wait for advanced care or other assistance and do not approach victim! NEXT
If 911 has not been called, have someone call this or your designated emergency number. NEXT
Press arrow keys to repeat any instructions or press the Burn button to restart instructions. END
Is victim conscious and breathing?
Grab available first aid supplies and grab an AED, if available and put on protective items such as safety gloves. Identify yourself and ask the victim for permission to provide care. If permission is refused, do not proceed. Call 911 or your designated emergency contact number. NEXT
Assess type & source of burn. Note: electrical exposure can cause heart & breathing problems requiring medical attention. Breathing difficulties & soot or irritations around the nose or mouth may signal serious internal burns. Monitor ABCs. If victim loses consciousness press the CPR button. NEXT
Lightning or electrical shock often causes multiple trauma including spinal injury, fractures, internal injuries, and muscular strain. NEXT
If you suspect head, neck, or spine injuries, press Head/Neck/Spine button now. Do not move victim. NEXT
Have the victim lie or sit down in the most comfortable position. NEXT
Is the burn from electrical current, lightning, or explosion?
If 911 has not been called, have someone call this or your designated emergency contact number. NEXT
Again assess the area for electrical current, lightning, or explosion risks. Do not go near an electrical burn victim until you are sure the power is turned off. Use caution when touching the victim. NEXT
Is the scene safe and danger of the shock removed?
You have indicated the scene is not safe. Do not put yourself in jeopardy. Wait for advanced care or other assistance and do not approach victim! NEXT
If 911 has not been called, have someone call this or your designated emergency number. NEXT
Press arrow keys to repeat any instructions or press the Burn button to restart instructions. END
Remove smoldering clothing, shoes, belts and jewelry that is not stuck to the skin to prevent further thermal burn damage. NEXT
Check the victim's body for wounds where the current may have entered and exited the body. Note: The injury may not appear to be severe externally, but internal injuries may be significant. NEXT
Check your first aid supplies. Is a burn dressing pack available?
If wounds are found, cover them with dry gauze pads or other sterile dressing from your first aid supplies. Loosely wrap wound with stretch gauze. Make sure wrap is not tight or constricting. NEXT
Elevate burned extremity above heart if possible, keeping victim warm, dry, and out of drafts. Watch for signs of shock which can result from loss of body heat. NEXT
Shock often accompanies other medical emergencies. Signs of shock include: cold sweats & chills; pale, clammy skin; pale\bluish lips and fingernails; nausea, fast or irregular breathing; rapid pulse, anxiety & restlessness; extreme thirst; weakness, confusion, & unresponsiveness. NEXT
Does the victim show signs of shock?
Monitor and calm the victim. If at any time the victim loses consciousness or stops breathing, press CPR button. Forward past instructions already heard. NEXT
If there are any other life threatening injuries press the appropriate emergency button now. NEXT
If the victim appears stable gather whatever information you can from the victim, family members, or bystanders until advanced care arrives. Press the OTHER button for a list of questions to ask. NEXT
Press arrow keys to repeat any instructions or press the Burn button to restart instructions. END
Is the burn a heat or thermal burn (caused by fire, heat, steam, or liquid)?
Remove smoldering clothing, shoes, belts and jewelry that is not stuck to the skin to prevent further thermal burn damage. NEXT
Treat thermal burns by severity. Severe burns: burns to head, neck, hands, feet, mouth, nose, genitals or covering more than 1 part of body. Any burn to children or elderly. Burn severity is difficult to assess. Superficial burns to a large area can be critical. DON'T judge severity of burn by pain. If unsure, treat burn as severe. NEXT
Is the burn severe?
If 911 has not been called, have someone call this or your designated emergency contact number. NEXT
Monitor and calm the victim. If at any time the victim loses consciousness or stops breathing, press CPR button. Forward past instructions already heard. NEXT
Cool the burned area with cold water from the nearest source available. Remove victim's jewelry and clothing near the burn unless it is stuck to the skin. Do not break blisters. Do not apply any ointment to the burn. Do not apply ice to any burn. Do not try to clean a severe burn. NEXT
Check your first aid supplies. Is a burn dressing pack available?
Open & apply dressing to as much of burned area as possible. If fingers & toes burned, weave dressing between each finger/toe to keep them separate & prevent further damage. Wrap with gauze. Make sure wrap is not constricting. Burns covering large areas can be covered loosely by clean dry sheets/other cloth. NEXT
Elevate burned extremity above heart if possible, keeping victim warm, dry, and out of drafts. Take steps to prevent shock which can result from loss of body heat. If burn dressing was used to treat the burn, cover victim with a blanket or other warm covering as needed to maintain body temperature. NEXT
Shock often accompanies other medical emergencies. Signs of shock include: cold sweats & chills; pale, clammy skin; pale\bluish lips and fingernails; nausea, fast or irregular breathing; rapid pulse, anxiety & restlessness; extreme thirst; weakness, confusion, & unresponsiveness. NEXT
Does the victim show signs of shock?
Monitor and calm the victim. If at any time the victim loses consciousness or stops breathing, press CPR button. Forward past instructions already heard. NEXT
If there are any other life threatening injuries press the appropriate emergency button now. NEXT
If the victim appears stable gather whatever information you can from the victim, family members, or bystanders until advanced care arrives. Press the OTHER button for a list of questions to ask. NEXT
Press arrow keys to repeat any instructions or press the Burn button to restart instructions. END
Cover burn with gauze pads and loosely secure in place with stretch gauze. Make sure wrap is not tight or constricting. Burns covering large areas can be covered loosely by clean dry sheets or other cloth until help arrives. NEXT
Elevate burned extremity above heart if possible, keeping victim warm, dry, and out of drafts. Watch for signs of shock which can result from loss of body heat. NEXT
Shock often accompanies other medical emergencies. Signs of shock include: cold sweats & chills; pale, clammy skin; pale\bluish lips and fingernails; nausea, fast or irregular breathing; rapid pulse, anxiety & restlessness; extreme thirst; weakness, confusion, & unresponsiveness. NEXT
Does the victim show signs of shock?
Monitor and calm the victim. If at any time the victim loses consciousness or stops breathing, press CPR button. Forward past instructions already heard. NEXT
If there are any other life threatening injuries press the appropriate emergency button now. NEXT
If the victim appears stable gather whatever information you can from the victim, family members, or bystanders until advanced care arrives. Press the OTHER button for a list of questions to ask. NEXT
Press arrow keys to repeat any instructions or press the Burn button to restart instructions. END
Again assess the area to make sure you and the victim are not at further risk from fire, steam, or hot objects. NEXT
Use water to cool the burned area. If possible, immerse the burned area in cool water. Cleanse burned area with soap and cold water. Use wet cloths if area cannot be submerged. Keep cloths cool by adding water. NEXT
Check your first aid supplies. Is a burn dressing pack available?
Open & apply dressing to as much of burned area as possible. If fingers & toes burned, weave dressing between each finger/toe to keep them separate & prevent further damage. Wrap with gauze. Make sure wrap is not constricting. Burns covering large areas can be covered loosely by clean dry sheets/other cloth. NEXT
If there are any other life threatening injuries press the appropriate emergency button now. NEXT
Follow up by having the victim seek appropriate medical care. NEXT
Press arrow keys to repeat any instructions or press the Burn button to restart instructions. END
Gently dry the burned area with gauze or a clean, dry cloth. Apply burn gel to the burned area. Then cover with gauze pads and loosely secure in place with stretch gauze. Make sure wrap is not tight or constricting. Burns covering large areas can be covered loosely by clean dry sheets or other cloth. NEXT
If there are any other life threatening injuries press the appropriate emergency button now. NEXT
Follow up by having the victim seek appropriate medical care. NEXT
Press arrow keys to repeat any instructions or press the Burn button to restart instructions. END
Is the burn a chemical burn?
If 911 has not been called, have someone call this or your designated emergency contact number. NEXT
Try to identify the chemical that caused the injury. In the U.S. contact the Poison Control Center at 800-222-1222 for assistance and provide information about the chemical to responders who are enroute. NEXT
In Canada Poison Control is 800-268-9017. NEXT
Protect yourself first with protective clothing and mask, if appropriate, using extreme caution before proceeding. NEXT
If the burn is caused by a dry chemical and if it is safe to do so, carefully brush off any powder with safety gloves or dry cloth before flushing with cool water. Be careful not to further contaminate the victim or yourself. Have victim close eyes before brushing near the face. NEXT
If a specific antedote is available administer per instructions if trained to do so or according to Poison Control Center or EMS dispatch assistance. NEXT
Flush the burned area with a large volume of cool water from nearest water source for 20 minutes or until advanced care arrives. Remove contaminated clothing and jewelry as much as possible, starting from the head and working down to feet. Be careful not to touch contaminated clothing with your bare skin. Call 911 or your designated emergency number. NEXT
Do not cover burn unless all chemical has been completely flushed away. NEXT
Elevate burned extremity above heart if possible, keeping victim warm, dry, and out of drafts. Watch for signs of shock which can result from loss of body heat. NEXT
Shock often accompanies other medical emergencies. Signs of shock include: cold sweats & chills; pale, clammy skin; pale\bluish lips and fingernails; nausea, fast or irregular breathing; rapid pulse, anxiety & restlessness; extreme thirst; weakness, confusion, & unresponsiveness. NEXT
Does the victim show signs of shock?
Monitor and calm the victim. If at any time the victim loses consciousness or stops breathing, press CPR button. Forward past instructions already heard. NEXT
If there are any other life threatening injuries press the appropriate emergency button now. NEXT
If the victim appears stable gather whatever information you can from the victim, family members, or bystanders until advanced care arrives. Press the OTHER button for a list of questions to ask. NEXT
Follow up by having the victim seek appropriate medical care. NEXT
Place any contaminated clothing in a sealed plastic bag and discard. Take a shower immediately to wash away any chemical and seek medical evaluation. NEXT
Press arrow keys to repeat any instructions or press the Burn button to restart instructions. END
Is this a burn to the eyes only as with a welding or flash burn of the eye?
Is this injury a HAZMAT risk?
Monitor and calm the victim. If at any time the victim loses consciousness or stops breathing, press CPR button. Forward past instructions already heard. NEXT
If there are any other life threatening injuries press the appropriate emergency button now. NEXT
Advise the victim to seek appropriate medical care. NEXT
Press arrow keys to repeat any instructions or press the Burn button to restart instructions. END
First, check to be certain the scene is safe and visually assess the area for any clues about the emergency. NEXT
Is it safe for you to approach the victim?
You have indicated the scene is not safe. Do not put yourself in jeopardy. Wait for advanced care or other assistance and do not approach victim! NEXT
If 911 has not been called, have someone call this or your designated emergency number. NEXT
Press the arrow keys to repeat any instructions or press the Heart/ Chest Pain/ Stroke button to begin these instructions again. END
Is victim conscious and breathing?
In the first minutes of sudden cardiac arrest the victim may be occasionally gasping. These gasps should not be confused with adequate or normal breathing. Gasping is commonly misinterpreted as a sign of life or response and normal breathing. If the victim is gasping, proceed as if the victim is not breathing normally. NEXT
Assume cardiac arrest if the victim suddenly collapses, is unresponsive, is not breathing or is only gasping and not breathing normally. NEXT
Is this a suspected cardiac arrest?
Is the victim not breathing or not breathing normally and only gasping?
Grab available first aid supplies and grab an AED, if available and put on protective items such as safety gloves. Identify yourself and ask the victim for permission to provide care. If permission is refused, do not proceed. Call 911 or your designated emergency contact number. NEXT
Monitor and calm the victim. If at any time the victim loses consciousness or stops breathing, press CPR button. Forward past instructions already heard. NEXT
If you suspect head, neck, or spine injury, press the Head/Neck/Spine button now. Do not move the victim. Otherwise, check to be certain the scene is safe. Move the victim away from hazards. NEXT
Check the position of the victim where they are found; if needed move the victim. NEXT
Symptoms of heart attack include persistent chest pressure and pain that continues for more than 3-5 minutes or subsides or returns. Intensity ranges from minor discomfort to severe pain and pressure. Other signs include pain in the shoulder, arm, back, or jaw; nausea/ vomiting/ sweating; feeling faint or dizzy; pale or ashen skin; unexplained breathing difficulties; and denial of symptoms. Does the victim appear to be experiencing a heart attack?
For anyone with suspected stroke or heart attack symptoms and chest discomfort, if 911 has not been called assign someone or do it yourself immediately. NEXT
Keep the victim calm, loosen tight clothing and help him find a comfortable position. Continually monitor the victim. If at any time the person loses consciousness or stops breathing, press the CPR button. Forward past instructions already heard. NEXT
Cardiac victims may benefit from aspirin if they are not allergic; have no health restrictions to taking aspirin; are not taking blood thinning medication; or do not have stomach disease or an ulcer. If victim over 18 years would like to take aspirin and is able to chew and swallow, he may take 1 adult chewable non-coated aspirin or 2 low-dose chewable baby aspirin. Caution victim to chew aspirin completely before swallowing. NEXT
If the person has nitroglycerin or other medication as prescribed by his doctor, have him use this as the doctor has directed. NEXT
If there are any other life threatening injuries press the appropriate emergency button now. NEXT
If the victim appears stable gather whatever information you can from the victim, family members, or bystanders until advanced care arrives. Press the OTHER button for a list of questions to ask. NEXT
Press the arrow keys to repeat any instructions or press the Heart/ Chest Pain/ Stroke button to begin these instructions again. END
Symptoms of stroke include sudden: weakness or numbness on one side of the face or body; numbness in arm or leg, sudden confusion, loss of balance or coordination; impaired speech or understanding; impaired vision or pupils of unequal size; and severe headache of unknown origin. Does the victim exhibit ANY of these symptoms?
For anyone with suspected stroke or heart attack symptoms and chest discomfort, if 911 has not been called assign someone or do it yourself immediately. NEXT
Keep person calm. Continually monitor the victim. If victim loses consciousness or stops breathing, press CPR, forward past instructions already heard. If victim vomits/ drools, clean mouth with gauze & remove any solids in mouth. Cover with blanket/ warm covering. Place in sitting position/ recovery position on affected side. NEXT
If there are any other life threatening injuries press the appropriate emergency button now. NEXT
If the victim appears stable gather whatever information you can from the victim, family members, or bystanders until advanced care arrives. Press the OTHER button for a list of questions to ask. NEXT
As soon as possible after the victim is treated and stabilized clean up any blood or body fluids left in the area using safety gloves. If a Bloodborne Pathogens Cleanup Kit is available, follow the instructions for use. When finished, wash hands. NEXT
Press the arrow keys to repeat any instructions or press the Heart/ Chest Pain/ Stroke button to begin these instructions again. END
Check victim for possible medical alert identification and information. If victim is suspected or known to have anaphylactic or severe allergic reactions the immediate use of the victim's epi-pen is recommended, help the victim administer per directions. If you are a trained healthcare provider follow your state laws on scope of practice and epinephrine administration. NEXT
If the person has nitroglycerin or other medication as prescribed by his doctor, have him use this as the doctor has directed. NEXT
Have the victim lie or sit down in the most comfortable position. NEXT
Try to determine the part of the body affected and the source of the injury or illness by calmly reassuring the victim and visually assessing the area for clues. Internal injuries may exist with no visible symptoms. NEXT
For anyone with suspected stroke or heart attack symptoms and chest discomfort, if 911 has not been called assign someone or do it yourself immediately. NEXT
If there are any other life threatening injuries press the appropriate emergency button now. NEXT
Monitor and calm the victim. If at any time the victim loses consciousness or stops breathing, press CPR button. Forward past instructions already heard. NEXT
Shock often accompanies other medical emergencies. Signs of shock include: cold sweats & chills; pale, clammy skin; pale\bluish lips and fingernails; nausea, fast or irregular breathing; rapid pulse, anxiety & restlessness; extreme thirst; weakness, confusion, & unresponsiveness. NEXT
Does the victim show signs of shock?
If the victim appears stable gather whatever information you can from the victim, family members, or bystanders until advanced care arrives. Press the OTHER button for a list of questions to ask. NEXT
Advise the victim to seek appropriate medical care. NEXT
Press the arrow keys to repeat any instructions or press the Heart/ Chest Pain/ Stroke button to begin these instructions again. END
Are you trained in CPR rescue breathing or providing ventilations?
Is the victim having a seizure?
Protect victim from injury by clearing all possible hazards from the area. Place a folded towel or clothing under the victim's head for protection if available. Then allow the seizure to run its course, noting its duration. Do not try to stop the seizure or put anything in the victim's mouth. NEXT
Ensure the victim maintains an open airway and do not restrain the victim. NEXT
Grab available first aid supplies (including an AED) and put on protective items such as safety gloves. NEXT
Record duration of seizure and any other symptoms or observations or information you can gather until advanced care or information you can gather until advanced care arrives. NEXT
When the seizure stops, monitor and calm the victim. If victim loses consciousness or stops breathing, press the CPR button. If victim's airway becomes obstructed or breathing is constricted, press the Breathing/Choking button. NEXT
Is victim conscious and breathing?
Check to see if the victim is wearing or carrying medical alert information. Signs of a diabetic-related emergency include: changes in consciousness; accelerated breathing & pulse; feeling & looking ill; confusion & dizziness and trembling. NEXT
Is this a known diabetic or a suspected diabetic-related emergency?
If 911 has not been called, have someone call this or your designated emergency contact number. Grab available first aid supplies and put on protective items such as safety gloves. Identify yourself and ask the victim for permission to provide care. If permission is refused, do not proceed. NEXT
Check the position of the victim where they are found; if needed move the victim. NEXT
Have the victim lie or sit down in the most comfortable position. NEXT
If the person is diabetic and a glucometer or blood glucose meter is available, have him use this device to measure blood sugar levels and take any medication as the doctor has directed. NEXT
If you cannot judge whether the victim has low or high blood sugar, give sugar. If the victim does not improve in 15 minutes seek medical care. NEXT
If the victim is awake and able to swallow, offer fruit juice, non-diet soft drink, corn syrup, or other source of sugar if available. Check first aid supplies. NEXT
Have someone call 911 or your designated emergency number if the victim is about to lose consciousness; is conscious, but unable to swallow; does not improve within 5 minutes after taking sugar; or a sugar source cannot be immediately located. NEXT
Monitor and calm the victim. If victim goes unconscious press CPR. If victim's airway obstructed or breathing constricted, press Breathing/Choking. Check for other injuries and press appropriate emergency button as needed. Forward past instructions already heard. NEXT
Shock often accompanies other medical emergencies. Signs of shock include: cold sweats & chills; pale, clammy skin; pale\bluish lips and fingernails; nausea, fast or irregular breathing; rapid pulse, anxiety & restlessness; extreme thirst; weakness, confusion, & unresponsiveness. NEXT
Monitor for shock and other life threatening symptoms. Press the appropriate emergency button for instructions as needed. Forward past instructions already heard. NEXT
Check the victim's entire body for other signs of injury. NEXT
Do you suspect neck or spinal injuries?
Advise the victim to seek appropriate medical care. NEXT
If the victim appears stable gather whatever information you can from the victim, family members, or bystanders until advanced care arrives. Press the OTHER button for a list of questions to ask. NEXT
Press the arrow keys to repeat any instructions or press the Seizure/Diabetic button to restart instructions. END
If 911 has not been called, have someone call this or your designated emergency contact number. Grab available first aid supplies and put on protective items such as safety gloves. Identify yourself and ask the victim for permission to provide care. If permission is refused, do not proceed. NEXT
Check the victim's entire body for other signs of injury. NEXT
Do you suspect neck or spinal injuries?
Stabilize the head so that the motion of the head neck and spine are minimized. NEXT
Check your supplies for a first aid manual or guide that provides illustrations for more information and guidance. NEXT
Keep the victim as still as possible. Check the scene. Do not move the victim unless absolutely necessary for safety reasons. If you must move someone with possible head/neck/spine injury, two rescuers can more safely do this. Support the head and neck in the position found, while carefully rolling the victim onto his back and gently pulling him by his clothing or upper chest. NEXT
Are you trained in CPR rescue breathing or providing ventilations?
If necessary, open the airway by gently tilting the head back and lifting the chin, while minimizing movement of the head and neck. If vomiting occurs, roll the victim carefully onto his side, while immobilizing the head and neck, and use gauze pads to clean his mouth. NEXT
Help the victim avoid becoming chilled or overheated. NEXT
Stabilize the head so that the motion of the head neck and spine are minimized. NEXT
If there are any other life threatening injuries press the appropriate emergency button now. NEXT
Do not further move the victim unless his airway is compromised by vomiting or copious secretions or you must leave him temporarily. If you must move the victim for these reasons, extend one of his arms above his head and roll his body to the side so that his head rests on the extended arm. Bend both legs for stability. NEXT
The victim may be confused and disoriented. Keep him comfortable and do not allow him to resume activity. Check to see if the victim is wearing or carrying medical alert information. If the victim has a known medical condition, seek advanced care as advised. If medical alert information indicates a diabetic condition, press the Seizure/Diabetic button again and follow the instructions for diabetic-related emergencies. NEXT
If the person has other medication as prescribed by his doctor, have him use this as the doctor has directed. NEXT
If the seizure has no known cause, seek advanced medical care as soon as possible. NEXT
Shock often accompanies other medical emergencies. Signs of shock include: cold sweats & chills; pale, clammy skin; pale\bluish lips and fingernails; nausea, fast or irregular breathing; rapid pulse, anxiety & restlessness; extreme thirst; weakness, confusion, & unresponsiveness. NEXT
Does the victim show signs of shock?
If the victim appears stable gather whatever information you can from the victim, family members, or bystanders until advanced care arrives. Press the OTHER button for a list of questions to ask. NEXT
As soon as possible after the victim is treated and stabilized clean up any blood or body fluids left in the area using safety gloves. If a Bloodborne Pathogens Cleanup Kit is available, follow the instructions for use. When finished, wash hands. NEXT
Press the arrow keys to repeat any instructions or press the Seizure/Diabetic button to restart instructions. END
Help the victim avoid becoming chilled or overheated. NEXT
Stabilize the head so that the motion of the head neck and spine are minimized. NEXT
If there are any other life threatening injuries press the appropriate emergency button now. NEXT
Do not further move the victim unless his airway is compromised by vomiting or copious secretions or you must leave him temporarily. If you must move the victim for these reasons, extend one of his arms above his head and roll his body to the side so that his head rests on the extended arm. Bend both legs for stability. NEXT
The victim may be confused and disoriented. Keep him comfortable and do not allow him to resume activity. Check to see if the victim is wearing or carrying medical alert information. If the victim has a known medical condition, seek advanced care as advised. If medical alert information indicates a diabetic condition, press the Seizure/Diabetic button again and follow the instructions for diabetic-related emergencies. NEXT
If the seizure has no known cause, seek advanced medical care as soon as possible. NEXT
Shock often accompanies other medical emergencies. Signs of shock include: cold sweats & chills; pale, clammy skin; pale\bluish lips and fingernails; nausea, fast or irregular breathing; rapid pulse, anxiety & restlessness; extreme thirst; weakness, confusion, & unresponsiveness. NEXT
Does the victim show signs of shock?
If the victim appears stable gather whatever information you can from the victim, family members, or bystanders until advanced care arrives. Press the OTHER button for a list of questions to ask. NEXT
As soon as possible after the victim is treated and stabilized clean up any blood or body fluids left in the area using safety gloves. If a Bloodborne Pathogens Cleanup Kit is available, follow the instructions for use. When finished, wash hands. NEXT
Press the arrow keys to repeat any instructions or press the Seizure/Diabetic button to restart instructions. END
Check the position of the victim where they are found; if needed move the victim. NEXT
Have the victim lie or sit down in the most comfortable position. NEXT
If there is fluid or vomit in the victim's mouth, place him in the recovery position, lying on his side, to allow fluid to drain from the mouth. Check for other injuries that may have resulted from the seizure, such as bleeding, and press the appropriate button. NEXT
The victim may be confused and disoriented. Keep him comfortable and do not allow him to resume activity. Check to see if the victim is wearing or carrying medical alert information. If the victim has a known medical condition, seek advanced care as advised. If medical alert information indicates a diabetic condition, press the Seizure/Diabetic button again and follow the instructions for diabetic-related emergencies. NEXT
If there are any other life threatening injuries press the appropriate emergency button now. NEXT
If the seizure has no known cause, seek advanced medical care as soon as possible. NEXT
Shock often accompanies other medical emergencies. Signs of shock include: cold sweats & chills; pale, clammy skin; pale\bluish lips and fingernails; nausea, fast or irregular breathing; rapid pulse, anxiety & restlessness; extreme thirst; weakness, confusion, & unresponsiveness. NEXT
Does the victim show signs of shock?
If the victim appears stable gather whatever information you can from the victim, family members, or bystanders until advanced care arrives. Press the OTHER button for a list of questions to ask. NEXT
As soon as possible after the victim is treated and stabilized clean up any blood or body fluids left in the area using safety gloves. If a Bloodborne Pathogens Cleanup Kit is available, follow the instructions for use. When finished, wash hands. NEXT
Press the arrow keys to repeat any instructions or press the Seizure/Diabetic button to restart instructions. END
First, check to be certain the scene is safe and visually assess the area for any clues about the emergency. NEXT
Is it safe for you to approach the victim?
You have indicated the scene is not safe. Do not put yourself in jeopardy. Wait for advanced care or other assistance and do not approach victim! NEXT
If 911 has not been called, have someone call this or your designated emergency number. NEXT
Press the arrow keys to repeat any instructions or press the Breathing Choking button to begin these instructions again. END
Grab available first aid supplies and AED, if available and put on protective items such as safety gloves. Identify yourself and ask the victim for permission to provide care. If permission is refused, do not proceed. Call 911 or your designated emergency contact number. NEXT
Is this a drowning emergency?
Is victim conscious and breathing?
Does the victim appear to be choking on an object? Confirm by asking the victim [Are you Choking?].
Call 911 or designated emergency number if victim needs help or exhibits signs of severe airway obstruction. Watch for breathing difficulty, silent cough, bluish skin, or inability to speak. If victim can speak, breathe, cough, or cry-even partially, monitor attempts to expel. If needs help, press NEXT. If loses consciousness press CPR. NEXT
To assist the choking victim you will need to administer thrusts. Is the victim an infant under 1 year old?
Can you fit your arms around their abdomen?
Is the victim pregnant?
Stand behind the person. Wrap one arm around their abdomen & make a fist. Place thumb side of your fist above belly button. Wrap your other arm around victim & grab your fist. Give quick upward thrust (up & in). Continue giving thrusts until expelled. If victim loses consciousness press CPR. If object is expelled press NEXT.
If the victim becomes unconscious or unresponsive the rescuer should carefully support the victim to the ground and begin CPR chest compressions. NEXT
Place the victim in the recovery position if the object has been expelled. NEXT
Monitor and calm the victim. If at any time the victim loses consciousness press CPR button. Forward past instructions already heard. NEXT
If there are any other life threatening injuries press the appropriate emergency button now. NEXT
If this was a minor choking incident and 9 1 1 or the designated emergency number was not called, be sure the victim seeks appropriate advanced medical care. NEXT
If the victim appears stable gather whatever information you can from the victim, family members, or bystanders until advanced care arrives. Press the OTHER button if you would like a list of questions to ask. NEXT
Press the arrow keys to repeat any instructions or press the Breathing Choking button to begin these instructions again. END
Stand behind person. Wrap one arm around chest & make fist. Place thumb side of fist on center of breastbone. Wrap your other arm around victim & grab your fist. Give quick thrust straight into chest. Continue giving thrusts until expelled. If victim loses consciousness press CPR. If object is expelled press NEXT.
If the victim becomes unconscious or unresponsive the rescuer should carefully support the victim to the ground and begin CPR chest compressions. NEXT
Place the victim in the recovery position if the object has been expelled. NEXT
Monitor and calm the victim. If at any time the victim loses consciousness press CPR button. Forward past instructions already heard. NEXT
If there are any other life threatening injuries press the appropriate emergency button now. NEXT
If this was a minor choking incident and 9 1 1 or the designated emergency number was not called, be sure the victim seeks appropriate advanced medical care. NEXT
If the victim appears stable gather whatever information you can from the victim, family members, or bystanders until advanced care arrives. Press the OTHER button if you would like a list of questions to ask. NEXT
Press the arrow keys to repeat any instructions or press the Breathing Choking button to begin these instructions again. END
Place baby face down over leg with 1 hand supporting neck. With heel of 2nd hand 5 back blows b/t shoulder blades. If not expelled & infant NOT breathing, turn face up on thigh supporting neck w/head lower than body. 2 fingers at center of breastbone give 5 chest compressions 1/2-1 inches deep. Continue cycle until expelled. If victim loses consciousness press CPR. If object is expelled press NEXT.
Monitor breathing. Press CPR if the baby goes unconscious or stops breathing. NEXT
If there are any other life threatening injuries press the appropriate emergency button now. NEXT
If this was a minor choking incident and 9 1 1 or the designated emergency number was not called, be sure the victim seeks appropriate advanced medical care. NEXT
If the victim appears stable gather whatever information you can from the victim, family members, or bystanders until advanced care arrives. Press the OTHER button if you would like a list of questions to ask. NEXT
Press the arrow keys to repeat any instructions or press the Breathing Choking button to begin these instructions again. END
Is victim conscious and breathing?
If you suspect head, neck, or spine injury, press the Head/Neck/Spine button now. Do not move the victim. Otherwise, check to be certain the scene is safe. Move the victim away from hazards. NEXT
In the first minutes of sudden cardiac arrest the victim may be occasionally gasping. These gasps should not be confused with adequate or normal breathing. Gasping is commonly misinterpreted as a sign of life or response and normal breathing. If the victim is gasping, proceed as if the victim is not breathing normally. NEXT
Assume cardiac arrest if the victim suddenly collapses, is unresponsive, is not breathing or is only gasping and not breathing normally. NEXT
Is this a suspected cardiac arrest?
Do you suspect this is an allergic reaction or anaphylactic reaction? A severe allergic reaction or anaphylactic reaction is a progressive series of symptoms including swelling, breathing difficulty, itching rash and eventually shock. (Answer Yes or No)
If victim is having difficulty breathing or experiencing other life-threatening symptoms, check for medical alert information on victim. If the victim or your first aid kit has supplies such as epinephrine or Benadryl, administer them if you are trained to do so. Otherwise, help the victim administer per directions. NEXT
If 911 has not been called and no medical supplies are available or breathing difficulties continue, assign someone to call 911 or your designated emergency number. NEXT
For anyone with suspected stroke or heart attack symptoms and chest discomfort, if 911 has not been called assign someone or do it yourself immediately. NEXT
If the victim becomes unconscious or unresponsive the rescuer should carefully support the victim to the ground and begin CPR chest compressions. NEXT
Monitor and calm the victim. If at any time the victim loses consciousness or stops breathing, press CPR button. Forward past instructions already heard. NEXT
Monitor for shock and other life threatening symptoms. Press the appropriate emergency button for instructions as needed. Forward past instructions already heard. NEXT
If the victim appears stable gather whatever information you can from the victim, family members, or bystanders until advanced care arrives. Press the OTHER button if you would like a list of questions to ask. NEXT
Advise the victim to seek appropriate medical care, if this was a minor situation and 9 1 1 assistance was not provided. NEXT
Press the arrow keys to repeat any instructions or press the Breathing Choking button to begin these instructions again. END
Check victim for possible medical alert identification and information. If victim is suspected or known to have anaphylactic or severe allergic reactions the immediate use of the victim's epi-pen is recommended, help victim administer per directions. If you are a trained healthcare provider follow your state laws on scope of practice and epinephrine administration. NEXT
Is the breathing emergency related to a condition, such as asthma or emphysema?
Allow the person to find the most comfortable position for breathing, allowing for drainage from the mouth. Check to see if he is wearing or carrying medical alert information. If the victim has supplies such as an inhaler or supplies are included in the first aid kit, administer them if you are trained to do so. Otherwise, help the person administer according to directions. NEXT
If 911 has not been called and no medical supplies are available or breathing difficulties continue, assign someone to call 911 or your designated emergency number. NEXT
For anyone with suspected stroke or heart attack symptoms and chest discomfort, if 911 has not been called assign someone or do it yourself immediately. NEXT
If the victim becomes unconscious or unresponsive the rescuer should carefully support the victim to the ground and begin CPR chest compressions. NEXT
Monitor and calm the victim. If at any time the victim loses consciousness or stops breathing, press CPR button. Forward past instructions already heard. NEXT
Monitor for shock and other life threatening symptoms. Press the appropriate emergency button for instructions as needed. Forward past instructions already heard. NEXT
If the victim appears stable gather whatever information you can from the victim, family members, or bystanders until advanced care arrives. Press the OTHER button if you would like a list of questions to ask. NEXT
Advise the victim to seek appropriate medical care, if this was a minor situation and 9 1 1 assistance was not provided. NEXT
Press the arrow keys to repeat any instructions or press the Breathing Choking button to begin these instructions again. END
Signs of chemical poisoning by touch, swallowing, or breathing: choking and difficulty breathing; skin color change; dizziness; headache\blurred vision; stomach cramps or diarrhea; eye, skin or throat irritation; twitching; and lack of coordination. NEXT
Is the breathing emergency related to possible poisoning or drug use?
Identify poison or drug & estimate amount taken if possible. If in U.S. contact Poison Control Center at 800-222-1222 and follow their instructions for care. NEXT
In Canada, Poison Control is 800-268-9017. NEXT
If 911 has not been called, have someone call this or your designated emergency contact number. NEXT
Have the victim lie or sit down in the most comfortable position. NEXT
Find out: The name or description of the poison and how much was touched, inhaled or swallowed. The age and approximate weight of the victim. The time the poisoning occurred. And how the victim is feeling or acting now. NEXT
If a specific antedote is available administer per instructions if trained to do so or according to Poison Control Center or EMS dispatch assistance. NEXT
If vomiting occurs, roll victim onto his side to allow fluids to drain. Use gauze pads to clean victim's mouth. NEXT
Monitor for shock and other life threatening symptoms. Press the appropriate emergency button for instructions as needed. Forward past instructions already heard. NEXT
Monitor and calm the victim. If at any time the victim loses consciousness or stops breathing, press CPR button. Forward past instructions already heard. NEXT
Signs of chemical attack include many people suffering from these symptoms and many sick or dead animals in the area. NEXT
Remember that you can be exposed to chemicals and not see or smell anything unusual. NEXT
Is this a chemical threat emergency?
Has the victim had a near drowning experience?
If 911 has not been called, have someone call this or your designated emergency contact number. NEXT
Assume Head/Neck/Spine injury. While carefully maintaining the victim's head and neck, roll him onto his side so that he can more easily cough up any remaining water. If vomiting occurs, use gauze pads to clean the victim's mouth. NEXT
Monitor and calm the victim. If at any time the victim loses consciousness or stops breathing, press CPR button. Forward past instructions already heard. NEXT
Monitor for shock, hypothermia, and other life threatening symptoms. Press the appropriate emergency button for instructions as needed. NEXT
If the victim appears stable gather whatever information you can from the victim, family members, or bystanders until advanced care arrives. Press the OTHER button if you would like a list of questions to ask. NEXT
Advise the victim to seek appropriate medical care, if this was a minor situation and 9 1 1 assistance was not provided.NEXT
As soon as possible after the victim is treated and stabilized clean up any blood or body fluids left in the area using safety gloves. If a Bloodborne Pathogens Cleanup Kit is available, follow the instructions for use. When finished, wash hands. NEXT
Press the arrow keys to repeat any instructions or press the Breathing Choking button to begin these instructions again. END
If the victim appears stable gather whatever information you can from the victim, family members, or bystanders until advanced care arrives. Press the OTHER button if you would like a list of questions to ask. NEXT
As soon as possible after the victim is treated and stabilized clean up any blood or body fluids left in the area using safety gloves. If a Bloodborne Pathogens Cleanup Kit is available, follow the instructions for use. When finished, wash hands. NEXT
Press the arrow keys to repeat any instructions or press the Breathing Choking button to begin these instructions again. END
Is the victim hyperventilating or has he had the wind knocked out of him?
Provide reassurance and help the victim remain calm. Have him breathe through pursed lips as though he were blowing out a candle. NEXT
Do not ask the victim to breathe into a bag or other container. A victim who repeatedly rebreathes his exhaled air will not be getting enough oxygen. NEXT
Monitor for shock and other life threatening symptoms. Press the appropriate emergency button for instructions as needed. Forward past instructions already heard. NEXT
Monitor and calm the victim. If at any time the victim loses consciousness or stops breathing, press CPR button. Forward past instructions already heard. NEXT
Advise the victim to seek appropriate medical care, if this was a minor situation and 9 1 1 assistance was not provided. NEXT
If the victim appears stable gather whatever information you can from the victim, family members, or bystanders until advanced care arrives. Press the OTHER button if you would like a list of questions to ask. NEXT
Press the arrow keys to repeat any instructions or press the Breathing Choking button to begin these instructions again. END
Is this a chemical threat emergency?
Have the victim lie or sit down in the most comfortable position. NEXT
Monitor and calm the victim. If at any time the victim loses consciousness or stops breathing, press CPR button. Forward past instructions already heard. NEXT
Monitor for shock and other life threatening symptoms. Press the appropriate emergency button for instructions as needed. Forward past instructions already heard. NEXT
Signs of chemical poisoning by touch, swallowing, or breathing: choking and difficulty breathing; skin color change; dizziness; headache\blurred vision; stomach cramps or diarrhea; eye, skin or throat irritation; twitching; and lack of coordination. NEXT
Signs of chemical attack include many people suffering from these symptoms and many sick or dead animals in the area. NEXT
Remember that you can be exposed to chemicals and not see or smell anything unusual. NEXT
Chemical poisoning can be a life-threatening emergency. A chemical attack is the deliberate release of a toxic gas, liquid or solid that can poison people and the environment. If you suspect poisoning or exposure to a toxic chemical call 911 or your designated emergency number. In the U.S. call the Poison Control Center 800-222-1222.NEXT
In Canada Poison Control is 800-268-9017. NEXT
Find out: The name or description of the poison and how much was touched, inhaled or swallowed. The age and approximate weight of the victim. The time the poisoning occurred. And how the victim is feeling or acting now. NEXT
If a specific antedote is available administer per instructions if trained to do so or according to Poison Control Center or EMS dispatch assistance. NEXT
If you see signs of chemical attack or exposure, quickly try to determine where the chemical is coming from and get as far away from the source as possible. Seek clean air. NEXT
If the chemical is inside a building where you are, get out of the building without passing through the contaminated area, if possible. NEXT
If you can't get out of the building or find clean air without passing through the area where you see signs of a chemical attack, it may be better to move as far away as possible and shelter-in-place. NEXT
If you are outside, quickly decide what is the fastest way to find clean air. Consider if you can get out of the area or if you should go inside the closest building and shelter-in-place. NEXT
If you think you may have been exposed to a chemical, strip immediately and wash. Look for a hose, fountain, or any source of water, and wash with soap if possible, being sure not to scrub the chemical into your skin. Seek emergency medical attention. NEXT
Monitor and calm the victim. If at any time the victim loses consciousness or stops breathing, press CPR button. Forward past instructions already heard. NEXT
In the event of a major chemical emergency, watch TV, listen to the radio, or check the Internet for public safety announcements and instructions. NEXT
Press the arrow keys to repeat any instructions or press the Other button to restart instructions. END
Have the victim lie or sit down in the most comfortable position. NEXT
Monitor for shock and other life threatening symptoms. Press the appropriate emergency button for instructions as needed. Forward past instructions already heard. NEXT
For anyone with suspected stroke or heart attack symptoms and chest discomfort, if 911 has not been called assign someone or do it yourself immediately. NEXT
If the victim becomes unconscious or unresponsive the rescuer should carefully support the victim to the ground and begin CPR chest compressions. NEXT
Monitor and calm the victim. If at any time the victim loses consciousness or stops breathing, press CPR button. Forward past instructions already heard. NEXT
Advise the victim to seek appropriate medical care, if this was a minor situation and 9 1 1 assistance was not provided. NEXT
If the victim appears stable gather whatever information you can from the victim, family members, or bystanders until advanced care arrives. Press the OTHER button if you would like a list of questions to ask. NEXT
Press the arrow keys to repeat any instructions or press the Breathing Choking button to begin these instructions again. END
Has the object been expelled?
Is the victim moving or conscious?
If the victim becomes unconscious or unresponsive the rescuer should carefully support the victim to the ground and begin CPR chest compressions. NEXT
Continue efforts to expel the object. If victim loses consciousness press CPR. If object is expelled press NEXT.
Has the object been expelled?
Has the object been expelled?
Is the victim moving or conscious?
If the victim becomes unconscious or unresponsive the rescuer should carefully support the victim to the ground and begin CPR chest compressions. NEXT
Continue efforts to expel the object. If victim loses consciousness press CPR. If object is expelled press NEXT.
Has the object been expelled?
Are you trained in CPR rescue breathing or providing ventilations?
Are you trained in CPR rescue breathing or providing ventilations?
Are you trained in CPR rescue breathing or providing ventilations?
First, check to be certain the scene is safe and visually assess the area for any clues about the emergency. NEXT
Is it safe for you to approach the victim?
You have indicated the scene is not safe. Do not put yourself in jeopardy. Wait for advanced care or other assistance and do not approach victim! NEXT
If 911 has not been called, have someone call this or your designated emergency number. NEXT
Press the arrow keys to repeat any instructions or press the Bleeding/Shock button to restart these instructions. END
Is the victim conscious and breathing?
Is the victim bleeding?
Grab available first aid supplies and an AED, if available, and put on protective items such as safety gloves. Identify yourself and ask the victim for permission to provide care. If permission is refused, do not proceed. Call 911 or your designated emergency contact number. NEXT
Check the body for the source and exact location of the bleeding. If the wound is in the head, chest, or torso, assume neck or spine injuries. NEXT
If you suspect head, neck, or spine injury, press the Head/Neck/Spine button now. Do not move the victim. Otherwise, check to be certain the scene is safe. Move the victim away from hazards. NEXT
Is this a major bleeding situation (with a lot of blood lost in a short time)?
If 911 has not been called, have someone call this or your designated emergency contact number. NEXT
Is there an object protruding from wound?
Is the eye cut, protruding or is the area around it bleeding?
If there is severe bleeding of the eye, be aware that there may be injuries to the head, neck, or spine or broken facial bones. Do not apply pressure to the eye itself. Treat other life threatening symptoms or severe bleeding injuries first. NEXT
Apply direct pressure to the wound with your gloved hand. While pressing, locate ABD pads in your first aid supplies. Cover wound with pads and continue pressing. NEXT
If neck and spine injuries are not suspected, have victim sit or lie down. NEXT
If bleeding continues and soaks through the pads, add more gauze pads and continue pressing. Do NOT lift or remove soaked pads. NEXT
If you are in a remote area and EMS arrival is delayed check your first aid supplies for a tourniquet. If one is available apply it according to the instructions if you are properly trained to do so. If a tourniquet is used, note the time it was applied and communicate that time to EMS upon arrival. NEXT
Check your supplies for a first aid manual or guide that provides illustrations for more information and guidance. NEXT
If it is not possible to provide continuous manual pressure, wrap an elastic or compression bandage firmly over the gauze pads and hold it in place with pressure. NEXT
Is the eye cut, protruding or is the area around it bleeding?
If there are any other life threatening injuries press the appropriate emergency button now. NEXT
If there is also severe bleeding of the eye, do not apply pressure to the eye itself. Fold an eye patch in half and gently place it over the closed eyelid. Cover this with another flat patch and gently secure with tape. NEXT
Place an eye patch over the other eye and secure with tape to help minimize movement in the injured eye. NEXT
Keep victim calm and wait for advanced care to arrive. NEXT
If the skin around the eye is bleeding, apply gentle pressure with gauze pads to control the bleeding. NEXT
Superficial wounds should be cleaned until there is no foreign matter in the wound. NEXT
Once bleeding stops, cover with a bandage or clean gauze and seek appropriate medical care. Apply ice pack over the dressing if bumps, bruises, or swelling are present. NEXT
Monitor and calm the victim. If at any time the victim loses consciousness or stops breathing, press CPR button. Forward past instructions already heard. NEXT
Has a part of the body been severed?
Do NOT remove the object unless it is restricting the airway. Is the object causing breathing problems?
Try to secure the object and control bleeding by placing gauze pads on either side of object. Carefully wrap with stretch gauze. Make sure the wrap does not restrict circulation. If area can't be wrapped, secure gauze with tape. Apply pressure. NEXT
Apply direct pressure to the wound with your gloved hand. While pressing, locate ABD pads in your first aid supplies. Cover wound with pads and continue pressing. NEXT
If 911 has not been called, have someone call this or your designated emergency contact number. NEXT
If bleeding continues and soaks through the pads, add more gauze pads and continue pressing. Do NOT lift or remove soaked pads. NEXT
If you are in a remote area and EMS arrival is delayed check your first aid supplies for a tourniquet. If one is available apply it according to the instructions if you are properly trained to do so. If a tourniquet is used, note the time it was applied and communicate that time to EMS upon arrival. NEXT
Check your supplies for a first aid manual or guide that provides illustrations for more information and guidance. NEXT
If it is not possible to provide continuous manual pressure, wrap an elastic or compression bandage firmly over the gauze pads and hold it in place with pressure. NEXT
Monitor and calm the victim. If at any time the victim loses consciousness or stops breathing, press CPR button. Forward past instructions already heard. NEXT
Is the eye cut, protruding or is the area around it bleeding?
If there are any other life threatening injuries press the appropriate emergency button now. NEXT
If there is also severe bleeding of the eye, do not apply pressure to the eye itself. Fold an eye patch in half and gently place it over the closed eyelid. Cover this with another flat patch and gently secure with tape. NEXT
Place an eye patch over the other eye and secure with tape to help minimize movement in the injured eye. NEXT
Keep victim calm and wait for advanced care to arrive. NEXT
If the skin around the eye is bleeding, apply gentle pressure with gauze pads to control the bleeding. NEXT
Superficial wounds should be cleaned until there is no foreign matter in the wound. NEXT
Once bleeding stops, cover with a bandage or clean gauze and seek appropriate medical care. Apply ice pack over the dressing if bumps, bruises, or swelling are present. NEXT
Has a part of the body been severed?
Remove the object and apply direct pressure with gloved hand paying particular attention to bleeding inside the mouth that may restrict the airway. NEXT
Apply direct pressure to the wound with your gloved hand. While pressing, locate ABD pads in your first aid supplies. Cover wound with pads and continue pressing. NEXT
If 911 has not been called, have someone call this or your designated emergency contact number. NEXT
If bleeding continues and soaks through the pads, add more gauze pads and continue pressing. Do NOT lift or remove soaked pads. NEXT
If it is not possible to provide continuous manual pressure, wrap an elastic or compression bandage firmly over the gauze pads and hold it in place with pressure. NEXT
Monitor and calm the victim. If at any time the victim loses consciousness or stops breathing, press CPR button. Forward past instructions already heard. NEXT
Is the eye cut, protruding or is the area around it bleeding?
If there are any other life threatening injuries press the appropriate emergency button now. NEXT
If there is also severe bleeding of the eye, do not apply pressure to the eye itself. Fold an eye patch in half and gently place it over the closed eyelid. Cover this with another flat patch and gently secure with tape. NEXT
Place an eye patch over the other eye and secure with tape to help minimize movement in the injured eye. NEXT
Keep victim calm and wait for advanced care to arrive. NEXT
If the skin around the eye is bleeding, apply gentle pressure with gauze pads to control the bleeding. NEXT
Superficial wounds should be cleaned until there is no foreign matter in the wound. NEXT
Once bleeding stops, cover with a bandage or clean gauze and seek appropriate medical care. Apply ice pack over the dressing if bumps, bruises, or swelling are present. NEXT
Monitor and calm the victim. If at any time the victim loses consciousness or stops breathing, press CPR button. Forward past instructions already heard. NEXT
Has a part of the body been severed?
Once bleeding has been controlled or if another person is available to help, locate the severed body part. If AmpuSave is available, follow directions for use. Make sure the part is transported with victim. NEXT
Has bleeding subsided?
Has bleeding subsided?
Is a clotting solution kit or hemostatic sponges or gauze available?
Remove dressings from the wound. Apply clotting solution following the directions on the package. NEXT
If it is not possible to provide continuous manual pressure, wrap an elastic or compression bandage firmly over the gauze pads and hold it in place with pressure. NEXT
If you are in a remote area and EMS arrival is delayed check your first aid supplies for a tourniquet. If one is available apply it according to the instructions if you are properly trained to do so. If a tourniquet is used, note the time it was applied and communicate that time to EMS upon arrival. NEXT
Check your supplies for a first aid manual or guide that provides illustrations for more information and guidance. NEXT
Shock often accompanies other medical emergencies. Signs of shock include: cold sweats & chills; pale, clammy skin; pale\bluish lips and fingernails; nausea, fast or irregular breathing; rapid pulse, anxiety & restlessness; extreme thirst; weakness, confusion, & unresponsiveness. NEXT
If there is no evidence of head, neck or spinal injury and trauma AND if raising the feet does not cause the victim any pain, elevate the feet 6 to 12 inches. Do not elevate the feet if the position causes the victim any pain. NEXT
Help the victim avoid becoming chilled or overheated. NEXT
Cover him with a blanket or other warm covering as needed to maintain normal body temperature; avoid overheating. NEXT
If you suspect shock and 911 has not been called, assign someone to call 911 or your designated emergency number. NEXT
Monitor victim's consciousness, breathing, and bleeding until advanced care arrives. If problems arise, press the appropriate button for instructions as needed, forwarding past any instructions you've already heard. NEXT
Do NOT give the victim food or drink. NEXT
If vomiting occurs, use the gauze pads to clean the victim's mouth. If it is safe to do so, roll the victim on his side to help maintain an open airway. NEXT
If there are any other life threatening injuries press the appropriate emergency button now. NEXT
Keep victim calm and give reassurance while waiting for advanced care to arrive. NEXT
If the victim appears stable gather whatever information you can from the victim, family members, or bystanders until advanced care arrives. Press the OTHER button for a list of questions to ask. NEXT
As soon as possible after the victim is treated and stabilized clean up any blood or body fluids left in the area using safety gloves. If a Bloodborne Pathogens Cleanup Kit is available, follow the instructions for use. When finished, wash hands. NEXT
Press the arrow keys to repeat any instructions or press the Bleeding/Shock button to restart these instructions. END
Continue using direct pressure on the wound until advanced care arrives or bleeding stops. NEXT
If it is not possible to provide continuous manual pressure, wrap an elastic or compression bandage firmly over the gauze pads and hold it in place with pressure. NEXT
If you are in a remote area and EMS arrival is delayed check your first aid supplies for a tourniquet. If one is available apply it according to the instructions if you are properly trained to do so. If a tourniquet is used, note the time it was applied and communicate that time to EMS upon arrival. NEXT
Check your supplies for a first aid manual or guide that provides illustrations for more information and guidance. NEXT
Shock often accompanies other medical emergencies. Signs of shock include: cold sweats & chills; pale, clammy skin; pale\bluish lips and fingernails; nausea, fast or irregular breathing; rapid pulse, anxiety & restlessness; extreme thirst; weakness, confusion, & unresponsiveness. NEXT
If there is no evidence of head, neck or spinal injury and trauma AND if raising the feet does not cause the victim any pain, elevate the feet 6 to 12 inches. Do not elevate the feet if the position causes the victim any pain. NEXT
Help the victim avoid becoming chilled or overheated. NEXT
Cover him with a blanket or other warm covering as needed to maintain normal body temperature; avoid overheating. NEXT
If you suspect shock and 911 has not been called, assign someone to call 911 or your designated emergency number. NEXT
Monitor victim's consciousness, breathing, and bleeding until advanced care arrives. If problems arise, press the appropriate button for instructions as needed, forwarding past any instructions you've already heard. NEXT
Do NOT give the victim food or drink. NEXT
If vomiting occurs, use the gauze pads to clean the victim's mouth. If it is safe to do so, roll the victim on his side to help maintain an open airway. NEXT
If there are any other life threatening injuries press the appropriate emergency button now. NEXT
Keep victim calm and give reassurance while waiting for advanced care to arrive. NEXT
If the victim appears stable gather whatever information you can from the victim, family members, or bystanders until advanced care arrives. Press the OTHER button for a list of questions to ask. NEXT
As soon as possible after the victim is treated and stabilized clean up any blood or body fluids left in the area using safety gloves. If a Bloodborne Pathogens Cleanup Kit is available, follow the instructions for use. When finished, wash hands. NEXT
Press the arrow keys to repeat any instructions or press the Bleeding/Shock button to restart these instructions. END
Be aware that internal bleeding is a serious medical emergency. If you suspect internal bleeding, assign someone to call 911 or your designated emergency number. NEXT
Is this a gunshot or stabbing wound?
Is there an object protruding from wound?
Apply direct pressure to the wound with your gloved hand. While pressing, locate ABD pads in your first aid supplies. Cover wound with pads and continue pressing. NEXT
If 911 has not been called, have someone call this or your designated emergency contact number. NEXT
If neck and spine injuries are not suspected, have victim sit or lie down. NEXT
If bleeding continues and soaks through the pads, add more gauze pads and continue pressing. Do NOT lift or remove soaked pads. NEXT
If it is not possible to provide continuous manual pressure, wrap an elastic or compression bandage firmly over the gauze pads and hold it in place with pressure. NEXT
Monitor and calm the victim. If at any time the victim loses consciousness or stops breathing, press CPR button. Forward past instructions already heard. NEXT
Has bleeding subsided?
Leave gauze pads in place. Wrap snugly with stretch gauze. NEXT
Cover the victim with a blanket or other warm covering and monitor for shock until advanced care arrives. NEXT
Shock often accompanies other medical emergencies. Signs of shock include: cold sweats & chills; pale, clammy skin; pale\bluish lips and fingernails; nausea, fast or irregular breathing; rapid pulse, anxiety & restlessness; extreme thirst; weakness, confusion, & unresponsiveness. NEXT
If there is no evidence of head, neck or spinal injury and trauma AND if raising the feet does not cause the victim any pain, elevate the feet 6 to 12 inches. Do not elevate the feet if the position causes the victim any pain. NEXT
Help the victim avoid becoming chilled or overheated. NEXT
Cover him with a blanket or other warm covering as needed to maintain normal body temperature; avoid overheating. NEXT
If you suspect shock and 911 has not been called, assign someone to call 911 or your designated emergency number. NEXT
Monitor victim's consciousness, breathing, and bleeding until advanced care arrives. If problems arise, press the appropriate button for instructions as needed, forwarding past any instructions you've already heard. NEXT
Do NOT give the victim food or drink. NEXT
If vomiting occurs, use the gauze pads to clean the victim's mouth. If it is safe to do so, roll the victim on his side to help maintain an open airway. NEXT
If there are any other life threatening injuries press the appropriate emergency button now. NEXT
Keep victim calm and give reassurance while waiting for advanced care to arrive. NEXT
Follow up by having the victim seek appropriate medical care. NEXT
If the victim appears stable gather whatever information you can from the victim, family members, or bystanders until advanced care arrives. Press the OTHER button for a list of questions to ask. NEXT
As soon as possible after the victim is treated and stabilized clean up any blood or body fluids left in the area using safety gloves. If a Bloodborne Pathogens Cleanup Kit is available, follow the instructions for use. When finished, wash hands. NEXT
Press the arrow keys to repeat any instructions or press the Bleeding/Shock button to restart these instructions. END
Is there an object protruding from wound?
If 911 has not been called, have someone call this or your designated emergency contact number. NEXT
Do NOT remove the object unless it is restricting the airway. Is the object causing breathing problems?
Is this an abdominal injury?
Keep victim lying on back with knees bent, if possible to do so without causing further pain. Place folded blanket or pillow under the knees. NEXT
Are organs or bones exposed?
Do not apply pressure or push organs-bones back in place. NEXT
If 911 has not been called, have someone call this or your designated emergency contact number. NEXT
Remove clothing from around the wound. Moisten gauze pads with saline or warm water and apply to the wound. Cover with an ABD pad or clean cloth to keep organs warm. Cover dressing with plastic wrap if possible. NEXT
Cover the victim with a blanket or other warm covering and monitor for shock until advanced care arrives. NEXT
Shock often accompanies other medical emergencies. Signs of shock include: cold sweats & chills; pale, clammy skin; pale\bluish lips and fingernails; nausea, fast or irregular breathing; rapid pulse, anxiety & restlessness; extreme thirst; weakness, confusion, & unresponsiveness. NEXT
If there is no evidence of head, neck or spinal injury and trauma AND if raising the feet does not cause the victim any pain, elevate the feet 6 to 12 inches. Do not elevate the feet if the position causes the victim any pain. NEXT
Help the victim avoid becoming chilled or overheated. NEXT
Cover him with a blanket or other warm covering as needed to maintain normal body temperature; avoid overheating. NEXT
If you suspect shock and 911 has not been called, assign someone to call 911 or your designated emergency number. NEXT
Monitor victim's consciousness, breathing, and bleeding until advanced care arrives. If problems arise, press the appropriate button for instructions as needed, forwarding past any instructions you've already heard. NEXT
Do NOT give the victim food or drink. NEXT
If vomiting occurs, use the gauze pads to clean the victim's mouth. If it is safe to do so, roll the victim on his side to help maintain an open airway. NEXT
If there are any other life threatening injuries press the appropriate emergency button now. NEXT
Keep victim calm and give reassurance while waiting for advanced care to arrive. NEXT
Follow up by having the victim seek appropriate medical care. NEXT
If the victim appears stable gather whatever information you can from the victim, family members, or bystanders until advanced care arrives. Press the OTHER button for a list of questions to ask. NEXT
As soon as possible after the victim is treated and stabilized clean up any blood or body fluids left in the area using safety gloves. If a Bloodborne Pathogens Cleanup Kit is available, follow the instructions for use. When finished, wash hands. NEXT
Press the arrow keys to repeat any instructions or press the Bleeding/Shock button to restart these instructions. END
Apply direct pressure to the wound with your gloved hand. While pressing, locate ABD pads in your first aid supplies. Cover wound with pads and continue pressing. NEXT
If bleeding continues and soaks through the pads, add more gauze pads and continue pressing. Do NOT lift or remove soaked pads. NEXT
If it is not possible to provide continuous manual pressure, wrap an elastic or compression bandage firmly over the gauze pads and hold it in place with pressure. NEXT
Superficial wounds should be cleaned until there is no foreign matter in the wound. NEXT
Monitor and calm the victim. If at any time the victim loses consciousness or stops breathing, press CPR button. Forward past instructions already heard. NEXT
Has bleeding subsided?
Has a part of the body been severed?
Apply direct pressure to the wound with your gloved hand. While pressing, locate ABD pads in your first aid supplies. Cover wound with pads and continue pressing. NEXT
If it is not possible to provide continuous manual pressure, wrap an elastic or compression bandage firmly over the gauze pads and hold it in place with pressure. NEXT
If bleeding continues and soaks through the pads, add more gauze pads and continue pressing. Do NOT lift or remove soaked pads. NEXT
Once bleeding has been controlled or if another person is available to help, locate the severed body part. If AmpuSave is available, follow directions for use. Make sure the part is transported with victim. NEXT
Has bleeding subsided?
Is this an injury to the mouth or teeth?
If there are any other life threatening injuries press the appropriate emergency button now. NEXT
If serious Head/Neck/Spine injury is not suspected, rinse out the victim's mouth with cold water. Have the person lean slightly forward or lie on his side to avoid swallowing the blood. NEXT
Using direct pressure, apply gauze pads against the wound. For tongue or lip injuries also apply cold pack. NEXT
If a tooth has been knocked out, have the victim bite down on a rolled gauze pads to control bleeding. NEXT
Locate tooth and pick it up by the enamel, not the root. Rinse root in water if dirty. Do not scrub or remove any attached fragments. If tooth preservation system is available, use according to directions. Otherwise place tooth in milk or water. Advise person to take tooth and seek immediate dental care. NEXT
Follow up by having the victim seek appropriate medical care. NEXT
As soon as possible after the victim is treated and stabilized clean up any blood or body fluids left in the area using safety gloves. If a Bloodborne Pathogens Cleanup Kit is available, follow the instructions for use. When finished, wash hands. NEXT
Press the arrow keys to repeat any instructions or press the Bleeding/Shock button to restart these instructions. END
Is this a nosebleed?
Have victim sit leaning slightly forward. Using a gauze pad, pinch the nostrils firmly together applying pressure for about 10 minutes. Apply cold pack to bridge of nose. NEXT
If the bleeding was caused by an injury to the nose, be aware of possible damage to underlying bones of the face, brain, or spine. NEXT
Call 911 or your designated emergency number if the victim is on blood thinning medication or he indicates that bleeding results from high blood pressure, or if bleeding persists or recurs. NEXT
Monitor and calm the victim. If at any time the victim loses consciousness or stops breathing, press CPR button. Forward past instructions already heard. NEXT
If bleeding continues, apply pressure on the upper lip directly beneath nose. Place person on side to allow blood to drain from nose. NEXT
If there are any other life threatening injuries press the appropriate emergency button now. NEXT
As soon as possible after the victim is treated and stabilized clean up any blood or body fluids left in the area using safety gloves. If a Bloodborne Pathogens Cleanup Kit is available, follow the instructions for use. When finished, wash hands. NEXT
Shock often accompanies other medical emergencies. Signs of shock include: cold sweats & chills; pale, clammy skin; pale\bluish lips and fingernails; nausea, fast or irregular breathing; rapid pulse, anxiety & restlessness; extreme thirst; weakness, confusion, & unresponsiveness. NEXT
Does the victim show signs of shock?
Is this a bleeding cut or scrape?
If there are any other life threatening injuries press the appropriate emergency button now. NEXT
Cover the wound with gauze pads and apply direct pressure with your gloved hand. NEXT
If bleeding continues and soaks through the pads, add more gauze pads and continue pressing. Do NOT lift or remove soaked pads. NEXT
Superficial wounds should be cleaned until there is no foreign matter in the wound. NEXT
Once bleeding stops, clean wound with soap and water or antiseptic wipes and irrigate with clean, running tap water for about 5 minutes, if possible. Apply triple antibiotic ointment if the victim has no known allergies to the ointment. Dry area and cover with a bandage or clean gauze and seek appropriate medical care. If possible, apply ice pack to the wound, especially when bumps, bruises, or contusions are present or broken bones or sprains are suspected. NEXT
Apply direct pressure and elevate the injured area if this can be done without causing further pain. NEXT
As soon as possible after the victim is treated and stabilized clean up any blood or body fluids left in the area using safety gloves. If a Bloodborne Pathogens Cleanup Kit is available, follow the instructions for use. When finished, wash hands. NEXT
Shock often accompanies other medical emergencies. Signs of shock include: cold sweats & chills; pale, clammy skin; pale\bluish lips and fingernails; nausea, fast or irregular breathing; rapid pulse, anxiety & restlessness; extreme thirst; weakness, confusion, & unresponsiveness. NEXT
Does the victim show signs of shock?
Is this a bruise or contusion?
If there are any other life threatening injuries press the appropriate emergency button now. NEXT
Apply direct pressure and elevate the injured area if this can be done without causing further pain. NEXT
Superficial wounds should be cleaned until there is no foreign matter in the wound. NEXT
Cover the area with a gauze pad and apply a cold pack for up to 20 minutes at a time. NEXT
Advise the victim to seek appropriate medical care. NEXT
Shock often accompanies other medical emergencies. Signs of shock include: cold sweats & chills; pale, clammy skin; pale\bluish lips and fingernails; nausea, fast or irregular breathing; rapid pulse, anxiety & restlessness; extreme thirst; weakness, confusion, & unresponsiveness. NEXT
Does the victim show signs of shock?
Is this a childbirth emergency?
The following protocol is for emergency childbirth situations only when advanced medical care cannot be provided in time for delivery. NEXT
Identify yourself and ask the woman for permission to provide care. If permission is refused, do not proceed. Call 911 or your designated emergency number. NEXT
While the woman is in labor have her lie on her side. If birth is imminent, have her lie on her back with knees drawn up and spread apart. NEXT
Raise her hips with blankets or pillows. Place ABD pads, clean towels, or paper around vaginal opening. NEXT
Have the woman breathe slowly and deeply during contractions. When the baby's head is visible during contractions, tell woman to take deep breath, hold it, push while counting to 10, exhale & repeat per contraction. Do NOT push between contractions. NEXT
Place your fingers on bony part of baby's skull and exert very gentle pressure to help slow delivery. Avoid baby's face and soft spot on top of head. NEXT
If the amniotic sac has not broken, puncture it carefully with a sharp object and push it away from baby's head and mouth as they appear. NEXT
As baby's head emerges, check to see umbilical cord is clear of baby's neck. If wrapped around neck, gently but quickly slip it over baby's head before the delivery. Do not cut the cord. NEXT
Support the head and suction mouth and nostrils 2 or 3 times with suction bulb. Use gauze or clean towel if no suction bulb is available. NEXT
Support baby's torso and body with both hands and a towel as they emerge. The baby will be slippery. NEXT
Grasp the feet as they emerge. Wipe blood and mucus from mouth and nose with gauze or a clean towel and suction again. NEXT
Keep baby level with vagina. NEXT
If another person is available, assign him or her to help with baby while you attend to the woman. Stimulate baby to breathe by flicking soles of feet or rubbing baby's back. Press CPR button if baby is not breathing or is breathing with difficulty after one minute. NEXT
Dry baby thoroughly. Wrap baby in warm blanket, covering head but not face and place on side with head slightly lower than trunk. NEXT
Monitor baby until advanced care arrives. If problems arise, press appropriate button. NEXT
Usually it is not necessary to cut the umbilical cord immediately if woman and baby can get advanced care soon. Clamping or tying the cord tightly with string about 4 inches away from baby will stop flow of baby's blood back to the placenta and is better than cutting the cord with an unsterile utensil. NEXT
If advanced care is not available, clamp or tie cord 4 inches further down the cord. Using sterile knife or scissors or fresh razor blade, cut the cord between the clamps or ties. Cover cut ends with sterile gauze or other clean cloth. NEXT
Massage the woman's abdomen to help the uterus contract and expel the placenta. NEXT
Wrap the placenta in a towel and place in bag for transport with woman. Gently massage woman's lower abdomen until it becomes firm. NEXT
Place gauze pads or towels over vaginal opening, do not put anything in vagina. Lower woman's legs and help her hold them together. NEXT
Monitor woman for excessive bleeding and shock. If heavy bleeding continues after delivery, periodically massage lower abdomen firmly. If possible, put baby to her breast. NEXT
Elevate woman's legs approximately 12 inches off ground if possible. Cover her with blanket or other warm covering as needed to maintain normal body temperature. NEXT
Monitor woman's consciousness, breathing and bleeding until advanced care arrives. If problems arise, press appropriate emergency button. NEXT
Do NOT give the woman food or drink. NEXT
Keep the woman calm and give reassurance while waiting for advanced care to arrive. NEXT
If there are any other life threatening injuries press the appropriate emergency button now. NEXT
After the woman and baby are stable, clean up blood or bodily fluids left in area using safety gloves. If Bloodborne Pathogens Cleanup kit is available, follow instructions for use. Wash hands with soap and water when finished. NEXT
Record time of delivery and other information if possible to provide to advanced care. NEXT
Press the arrow keys to repeat any instructions or press the Bleeding/Shock button to restart these instructions. END
Shock often accompanies other medical emergencies. Signs of shock include: cold sweats & chills; pale, clammy skin; pale\bluish lips and fingernails; nausea, fast or irregular breathing; rapid pulse, anxiety & restlessness; extreme thirst; weakness, confusion, & unresponsiveness. NEXT
Does the victim show signs of shock?
Grab available first aid supplies and put on protective items such as safety gloves. NEXT
Shock often accompanies other medical emergencies. Signs of shock include: cold sweats & chills; pale, clammy skin; pale\bluish lips and fingernails; nausea, fast or irregular breathing; rapid pulse, anxiety & restlessness; extreme thirst; weakness, confusion, & unresponsiveness. NEXT
If there is no evidence of head, neck or spinal injury and trauma AND if raising the feet does not cause the victim any pain, elevate the feet 6 to 12 inches. Do not elevate the feet if the position causes the victim any pain. NEXT
Help the victim avoid becoming chilled or overheated. NEXT
Cover him with a blanket or other warm covering as needed to maintain normal body temperature; avoid overheating. NEXT
If you suspect shock and 911 has not been called, assign someone to call 911 or your designated emergency number. NEXT
Monitor victim's consciousness, breathing, and bleeding until advanced care arrives. If problems arise, press the appropriate button for instructions as needed, forwarding past any instructions you've already heard. NEXT
Do NOT give the victim food or drink. NEXT
If vomiting occurs, use the gauze pads to clean the victim's mouth. If it is safe to do so, roll the victim on his side to help maintain an open airway. NEXT
If there are any other life threatening injuries press the appropriate emergency button now. NEXT
Keep victim calm and give reassurance while waiting for advanced care to arrive. NEXT
Follow up by having the victim seek appropriate medical care. NEXT
If the victim appears stable gather whatever information you can from the victim, family members, or bystanders until advanced care arrives. Press the OTHER button for a list of questions to ask. NEXT
As soon as possible after the victim is treated and stabilized clean up any blood or body fluids left in the area using safety gloves. If a Bloodborne Pathogens Cleanup Kit is available, follow the instructions for use. When finished, wash hands. NEXT
Press the arrow keys to repeat any instructions or press the Bleeding/Shock button to restart these instructions. END
If there are any other life threatening injuries press the appropriate emergency button now. NEXT
Follow up by having the victim seek appropriate medical care. NEXT
Press the arrow keys to repeat any instructions or press the Bleeding/Shock button to restart these instructions. END
If there are any other life threatening injuries press the appropriate emergency button now. NEXT
If there is also severe bleeding of the eye, do not apply pressure to the eye itself. Fold an eye patch in half and gently place it over the closed eyelid. Cover this with another flat patch and gently secure with tape. NEXT
Place an eye patch over the other eye and secure with tape to help minimize movement in the injured eye. NEXT
Keep victim calm and wait for advanced care to arrive. NEXT
If the skin around the eye is bleeding, apply gentle pressure with gauze pads to control the bleeding. NEXT
Superficial wounds should be cleaned until there is no foreign matter in the wound. NEXT
Once bleeding stops, cover with a bandage or clean gauze and seek appropriate medical care. Apply ice pack over the dressing if bumps, bruises, or swelling are present. NEXT
Monitor and calm the victim. If at any time the victim loses consciousness or stops breathing, press CPR button. Forward past instructions already heard. NEXT
Shock often accompanies other medical emergencies. Signs of shock include: cold sweats & chills; pale, clammy skin; pale\bluish lips and fingernails; nausea, fast or irregular breathing; rapid pulse, anxiety & restlessness; extreme thirst; weakness, confusion, & unresponsiveness. NEXT
Does the victim show signs of shock?
Is this a non-venomous animal bite or human bite that is bleeding?
This button will help you assess a victim with multiple or unknown injuries and prioritize treatment. NEXT
First, check to be certain the scene is safe and visually assess the area for any clues about the emergency. NEXT
Is it safe for you to approach the victim?
You have indicated the scene is not safe. Do not put yourself in jeopardy. Wait for advanced care or other assistance and do not approach victim! NEXT
If 911 has not been called, have someone call this or your designated emergency number. NEXT
Press the arrow keys to repeat any instructions or press the Multiple Injury button to begin these instructions again. END
Grab available first aid supplies and the AED if available and put on protective items such as safety gloves. Identify yourself and ask the victim for permission to provide care. If permission is refused, do not proceed. Call 911 or your designated emergency contact number. NEXT
Check the position of the victim where they are found; if needed move the victim. NEXT
Do not move the victim unless absolutely necessary for safety reasons. If you must move someone with possible head/neck/spine injury, two rescuers can more safely do this. Support the head and neck in the position found, while carefully rolling the victim onto his back and gently pulling him by his clothing or upper chest. NEXT
Check the victim for consciousness and breathing. If at any time the victim loses consciousness or stops breathing, press the CPR button. If his airway is obstructed or breathing is constricted, press the Breathing Choking button. NEXT
Tap the person's shoulder or shout 'Are you okay?' CPR should only be performed if the victim is unconscious OR not breathing. If this does not describe the victim, press the button that most closely fits the emergency. NEXT
In the first minutes of sudden cardiac arrest the victim may be occasionally gasping. These gasps should not be confused with adequate or normal breathing. Gasping is commonly misinterpreted as a sign of life or response and normal breathing. If the victim is gasping, proceed as if the victim is not breathing normally. NEXT
Assume cardiac arrest if the victim suddenly collapses, is unresponsive, is not breathing or is only gasping and not breathing normally. NEXT
Is this a suspected cardiac arrest?
Is the victim not breathing or not breathing normally and only gasping?
Is the victim bleeding?
Check the body for the source and exact location of the bleeding. If the wound is in the head, chest, or torso, assume neck or spine injuries. NEXT
If there is severe bleeding of the eye, be aware that there may be injuries to the head, neck, or spine or broken facial bones. Use gentle pressure to any cuts around the eye using gauze pads to stop bleeding. Do not apply pressure to the eye itself. NEXT
Apply direct pressure to the wound with your gloved hand. While pressing, locate ABD pads in your first aid supplies. Cover wound with pads and continue pressing. NEXT
If it is not possible to provide continuous manual pressure, wrap an elastic or compression bandage firmly over the gauze pads and hold it in place with pressure. NEXT
Lightning or electrical shock often causes multiple trauma including spinal injury, fractures, internal injuries, and muscular strain. NEXT
Suspect spinal injury for a victim that is approximately 65 years of age or older, is a Driver, passenger or pedestrian in a bicycle, motorcycle or motor vehicle accident, has fallen from a distance, has tingling in extremities, pain or tenderness in the neck or back, muscle weakness or sensory deficit, appears intoxicated or not fully alert or has other painful injuries, especially to the head or neck. Or if this is a child 2 years or older with evidence of head or neck trauma. NEXT
Do you suspect neck or spinal injuries?
Stabilize the head so that the motion of the head neck and spine are minimized. NEXT
Check your supplies for a first aid manual or guide that provides illustrations for more information and guidance. NEXT
If 911 has not been called, have someone call this or your designated emergency contact number. Grab available first aid supplies and put on protective items such as safety gloves. Identify yourself and ask the victim for permission to provide care. If permission is refused, do not proceed. NEXT
Keep the victim as still as possible. Check the scene. Do not move the victim unless absolutely necessary for safety reasons. If you must move someone with possible head/neck/spine injury, two rescuers can more safely do this. Support the head and neck in the position found, while carefully rolling the victim onto his back and gently pulling him by his clothing or upper chest. NEXT
If victim is wearing a helmet, do not remove it unless it is necessary to assess the airway and you are trained to do so. NEXT
Are you trained in CPR rescue breathing or providing ventilations?
Open the airway by gently tilting the head back and lifting the chin, while minimizing movement of the head and neck. If vomiting occurs, roll the victim carefully onto his side, while immobilizing the head and neck, and use gauze pads to clean his mouth. NEXT
Help the victim avoid becoming chilled or overheated. NEXT
Stabilize the head so that the motion of the head neck and spine are minimized. NEXT
If there are any other life threatening injuries press the appropriate emergency button now. NEXT
Do not further move the victim unless his airway is compromised by vomiting or copious secretions or you must leave him temporarily. If you must move the victim for these reasons, extend one of his arms above his head and roll his body to the side so that his head rests on the extended arm. Bend both legs for stability. NEXT
Monitor and calm the victim. If at any time the victim loses consciousness or stops breathing, press CPR button. Forward past instructions already heard. NEXT
Shock often accompanies other medical emergencies. Signs of shock include: cold sweats & chills; pale, clammy skin; pale\bluish lips and fingernails; nausea, fast or irregular breathing; rapid pulse, anxiety & restlessness; extreme thirst; weakness, confusion, & unresponsiveness. NEXT
Does the victim show signs of shock?
Help the victim avoid becoming chilled or overheated. NEXT
Stabilize the head so that the motion of the head neck and spine are minimized. NEXT
If there are any other life threatening injuries press the appropriate emergency button now. NEXT
Do not further move the victim unless his airway is compromised by vomiting or copious secretions or you must leave him temporarily. If you must move the victim for these reasons, extend one of his arms above his head and roll his body to the side so that his head rests on the extended arm. Bend both legs for stability. NEXT
Monitor and calm the victim. If at any time the victim loses consciousness or stops breathing, press CPR button. Forward past instructions already heard. NEXT
Shock often accompanies other medical emergencies. Signs of shock include: cold sweats & chills; pale, clammy skin; pale\bluish lips and fingernails; nausea, fast or irregular breathing; rapid pulse, anxiety & restlessness; extreme thirst; weakness, confusion, & unresponsiveness. NEXT
Does the victim show signs of shock?
If you suspect shock and 911 has not been called, assign someone to call 911 or your designated emergency number. NEXT
If there is no evidence of head, neck or spinal injury and trauma AND if raising the feet does not cause the victim any pain, elevate the feet 6 to 12 inches. Do not elevate the feet if the position causes the victim any pain. NEXT
Help the victim avoid becoming chilled or overheated. NEXT
Cover him with a blanket or other warm covering as needed to maintain normal body temperature; avoid overheating. NEXT
Monitor victim's consciousness, breathing, and bleeding until advanced care arrives. If problems arise, press the appropriate button for instructions as needed, forwarding past any instructions you've already heard. NEXT
Do not give the victim food or drink. NEXT
If vomiting occurs, use the gauze pads to clean the victim's mouth. If it is safe to do so, roll the victim on his side to help maintain an open airway. NEXT
Try to determine the part of the body affected and the source of the injury by calmly reassuring the victim and visually assessing the area for clues. Internal injuries may exist with no visible symptoms. NEXT
Check the victim's entire body for other signs of injury. NEXT
Check victim for possible medical alert identification and information. If victim is suspected or known to have anaphylactic or severe allergic reactions the immediate use of the victim's epi-pen is recommended, help the victim administer per directions. If you are a trained healthcare provider follow your state laws on scope of practice and epinephrine administration. NEXT
For anyone with suspected stroke or heart attack symptoms and chest discomfort, if 911 has not been called assign someone or do it yourself immediately. NEXT
Cardiac victims may benefit from aspirin if they are not allergic; have no health restrictions to taking aspirin; are not taking blood thinning medication; or do not have stomach disease or an ulcer. If victim over 18, would like to take aspirin and is able to chew and swallow, he may take 1 adult chewable non-coated aspirin or 2 low-dose chewable baby aspirin. Caution victim to chew aspirin completely before swallowing. NEXT
If the person has nitroglycerin or other medication as prescribed by his doctor, have him use this as the doctor has directed. NEXT
Is this a major bleeding situation (with a lot of blood lost in a short time)?
Has the victim been burned?
Signs of heat exhaustion include muscle cramps, nausea, dizziness, headache, fatigue, and heavy sweating. NEXT
Heat stroke includes all the symptoms of heat exhaustion plus vomiting, red hot or dry skin, weak breathing or pulse, syncope or fainting, confusion or seizures and changes in consciousness or loss of consciousness. NEXT
Is this a suspected heat stroke?
Do you suspect hypothermia?
Is this a known diabetic or a suspected diabetic-related emergency?
If there are any other life threatening injuries press the appropriate emergency button now. NEXT
Are there signs of broken bones or sprains such as swelling, deformity, severe pain, or numbness?
Is this a poison emergency or chemical threat?
Is this a biological threat?
Is this a radiation threat?
Is this a childbirth emergency?
Press other emergency buttons as needed to address other injuries or symptoms. NEXT
Monitor victim for shock. Do you need more information on the signs of shock?
Shock often accompanies other medical emergencies. Signs of shock include: cold sweats & chills; pale, clammy skin; pale\bluish lips and fingernails; nausea, fast or irregular breathing; rapid pulse, anxiety & restlessness; extreme thirst; weakness, confusion, & unresponsiveness. NEXT
Does the victim show signs of shock?
Does the victim show signs of shock?
If you suspect shock and 911 has not been called, assign someone to call 911 or your designated emergency number. NEXT
If there is no evidence of head, neck or spinal injury and trauma AND if raising the feet does not cause the victim any pain, elevate the feet 6 to 12 inches. Do not elevate the feet if the position causes the victim any pain. NEXT
Help the victim avoid becoming chilled or overheated. NEXT
Cover him with a blanket or other warm covering as needed to maintain normal body temperature; avoid overheating. NEXT
Monitor victim's consciousness, breathing, and bleeding until advanced care arrives. If problems arise, press the appropriate button for instructions as needed, forwarding past any instructions you've already heard. NEXT
Do not give the victim food or drink. NEXT
If vomiting occurs, use the gauze pads to clean the victim's mouth. If it is safe to do so, roll the victim on his side to help maintain an open airway. NEXT
Check the victim's entire body for other signs of injury. NEXT
Check victim for possible medical alert identification and information. If victim is suspected or known to have anaphylactic or severe allergic reactions the immediate use of the victim's epi-pen is recommended, help victim administer per directions. If you are a trained healthcare provider follow your state laws on scope of practice and epinephrine administration. NEXT
If there are any other life threatening injuries press the appropriate emergency button now. NEXT
Keep victim calm and give reassurance while waiting for advanced care to arrive. NEXT
If the victim appears stable gather whatever information you can from the victim, family members, or bystanders until advanced care arrives. Press the OTHER button for a list of questions to ask. NEXT
Continually monitor victim. If at any time the victim loses consciousness or stops breathing, press CPR button. If the victim's airway becomes obstructed or breathing becomes constricted, press Breathing Choking button. Forward past instructions already heard. NEXT
Follow up by having the victim seek appropriate medical care. NEXT
As soon as possible after the victim is treated and stabilized clean up any blood or body fluids left in the area using safety gloves. If a Bloodborne Pathogens Cleanup Kit is available, follow the instructions for use. When finished, wash hands. NEXT
Press the arrow keys to repeat any instructions or press the Multiple Injury button to begin these instructions again. END
Check the victim's entire body for other signs of injury. NEXT
If there are any other life threatening injuries press the appropriate emergency button now. NEXT
Press other emergency buttons as needed to address other injuries or symptoms. NEXT
If the victim appears stable gather whatever information you can from the victim, family members, or bystanders until advanced care arrives. Press the OTHER button for a list of questions to ask. NEXT
Continually monitor victim. If at any time the victim loses consciousness or stops breathing, press CPR button. If the victim's airway becomes obstructed or breathing becomes constricted, press Breathing Choking button. Forward past instructions already heard. NEXT
Follow up by having the victim seek appropriate medical care. NEXT
As soon as possible after the victim is treated and stabilized clean up any blood or body fluids left in the area using safety gloves. If a Bloodborne Pathogens Cleanup Kit is available, follow the instructions for use. When finished, wash hands. NEXT
Press the arrow keys to repeat any instructions or press the Multiple Injury button to begin these instructions again. END
Are you trained in CPR rescue breathing or providing ventilations?
Would you like a list of key information to ask victims or bystanders?
First, check to be certain the scene is safe and visually assess the area for any clues about the emergency. NEXT
Is it safe for you to approach the victim?
You have indicated the scene is not safe. Do not put yourself in jeopardy. Wait for advanced care or other assistance and do not approach victim! NEXT
If 911 has not been called, have someone call this or your designated emergency number. NEXT
Press the arrow keys to repeat any instructions or press the Other button to restart instructions. END
Is victim conscious and breathing?
Grab available first aid supplies and an AED, if available, and put on protective items such as safety gloves. Identify yourself and ask the victim for permission to provide care. If permission is refused, do not proceed. Call 911 or your designated emergency contact number. NEXT
Try to determine the part of the body affected and the source of the injury or any illness by calmly reassuring the victim and visually assessing the area for clues. Internal injuries may exist with no visible symptoms. NEXT
Check the victim's entire body for other signs of injury. NEXT
Check victim for possible medical alert identification and information. If victim is suspected or known to have anaphylactic or severe allergic reactions the immediate use of the victim's epi-pen is recommended. Help the victim administer per directions. If you are a trained healthcare provider follow your state laws on scope of practice and epinephrine administration. NEXT
For anyone with suspected stroke or heart attack symptoms and chest discomfort, if 911 has not been called assign someone or do it yourself immediately. NEXT
If the person has nitroglycerin or other medication as prescribed by his doctor, have him use this as the doctor has directed. NEXT
If there are any other life threatening injuries press the appropriate emergency button now. NEXT
Is this a bite or sting?
Check to be certain the scene is safe. Protect yourself and the victim from the source of the bite or sting. NEXT
Continually monitor victim. If at any time the victim loses consciousness or stops breathing, press CPR button. If the victim's airway becomes obstructed or breathing becomes constricted, press Breathing Choking button. Forward past instructions already heard. NEXT
Is this an insect sting or bite other than a tick bite?
Have the victim lie or sit down in the position most comfortable for him. NEXT
Call 911 or your designated emergency number if the victim does not know what stung him, has a history of allergic reactions to such stings, is stung on the face or neck, or is having difficulty breathing. NEXT
Remove the stinger if present by scraping with fingernail or credit card or using tweezers. Try not to squeeze the stinger. Wash the site with soap and water or antiseptic wipes. Cover with bandage or gauze and secure with tape. Apply a cold pack to reduce pain and swelling. NEXT
Monitor and calm the victim. If at any time the victim loses consciousness or stops breathing, press CPR button. Forward past instructions already heard. NEXT
Watch for allergic reaction and signs of infection which can include swelling and redness at the site of the wound, warmth or throbbing, pus, and fever. NEXT
Advise the victim to seek appropriate medical care. NEXT
Press the arrow keys to repeat any instructions or press the Other button to restart instructions. END
Is this a non-venomous animal bite or human bite that is bleeding?
If you suspect head, neck or spine injury, press the Head / Neck / Spine button now. Do not move the victim. NEXT
If the bite is bleeding seriously control bleeding by covering with ABD or trauma pads and applying pressure with your gloved hand. Do not attempt to clean a serious wound. If bleeding continues, press the Bleeding button and call 911 or your designated emergency number. NEXT
Remove all jewelry or clothing that could constrict the injured area and give it to the victim for safekeeping. NEXT
If any tissue has been bitten off, be sure it is taken with the victim when they seek advanced care or when advanced care arrives. NEXT
If bleeding is minor, wash the site with soap and water or antiseptic wipes. Rinse wound with clean water for 5 minutes, if possible. Apply triple antibiotic ointment if the victim has no known allergies to the ointment, cover with bandage or gauze, and secure with cloth tape. NEXT
Superficial wounds should be cleaned until there is no foreign matter in the wound. NEXT
Call 911 or your designated emergency number to treat serious wounds or if the animal may have rabies. Advise victim to follow up with medical care regarding need for tetanus booster and to check for infection. In addition, all animal bites should be reported to local animal control authorities or police. NEXT
Press the arrow keys to repeat any instructions or press the Other button to restart instructions. END
Is this a spider bite or scorpion sting?
Have the victim lie or sit down in the position most comfortable for him. NEXT
Call 911 or your designated emergency number if the victim does not know what stung him, has a history of allergic reactions to such stings, is stung on the face or neck, or is having difficulty breathing. NEXT
In the US: for a scorpion sting, black widow or brown recluse spider bite, assign someone to call 911 or your designated emergency number to receive antivenin. Outside the US: other poisonous spiders exist, contact advanced care immediately noting the spider's appearance if you suspect it is poisonous. NEXT
Remove all jewelry or clothing that could constrict the injured area and give it to the victim for safekeeping. NEXT
For all others, wash the site with soap and water or antiseptic wipes. Cover with bandage or gauze and secure with cloth tape. Apply a cold pack to reduce pain and swelling. NEXT
Watch for allergic reaction and signs of infection which can include swelling and redness at the site of the wound, warmth or throbbing, pus, and fever. NEXT
If the victim appears stable gather whatever information you can from the victim, family members, or bystanders until advanced care arrives. Helpful assessment & intake questions are provided by First Voice under the Other Button. NEXT
Monitor and calm the victim. If at any time the victim loses consciousness or stops breathing, press CPR button. Forward past instructions already heard. NEXT
Advise victim to seek appropriate medical care. NEXT
Press the arrow keys to repeat any instructions or press the Other button to restart instructions. END
Is this a snakebite?
Have the victim lie or sit down in the position most comfortable for him. NEXT
Do not try to catch the snake but note its appearance and describe it to advanced care. NEXT
If bite was from a coral snake or pit viper, such as a rattlesnake, copperhead or cotton mouth, have someone call 911 or your designated emergency number immediately. NEXT
Remove all jewelry or clothing that could constrict the injured area and give it to the victim for safekeeping. NEXT
Wash the site with soap and water or antiseptic wipes. Immobilize the area of the bite and keep it lower than the heart, if possible. NEXT
If the bite was to the arm or leg, wrap the entire limb snugly with an elastic bandage and immobilize it. NEXT
Pressure is sufficient if the bandage is comfortably tight and snug but allows a finger to be slipped under it. Inadequate bandage pressure is ineffective but too much pressure may cause local tissue damage. NEXT
DO NOT cut the wound or apply suction. DO NOT apply ice. DO NOT use a tourniquet or electric shock to treat the bite. NEXT
Advise all snakebite victims to follow up with advanced medical care. NEXT
If the victim appears stable gather whatever information you can from the victim, family members, or bystanders until advanced care arrives. Helpful assessment & intake questions are provided by First Voice under the Other Button. NEXT
Monitor and calm the victim. If at any time the victim loses consciousness or stops breathing, press CPR button. Forward past instructions already heard. NEXT
Press the arrow keys to repeat any instructions or press the Other button to restart instructions. END
Is this a marine life sting?
Is this a stingray or other marine life sting where the stinger is still embedded or protruding?
Monitor and calm the victim. If at any time the victim loses consciousness or stops breathing, press CPR button. Forward past instructions already heard. NEXT
Have the victim lie or sit down in the position most comfortable for him. NEXT
Call 911 or your designated emergency number if the victim does not know what stung him, has a history of allergic reactions to such stings, is stung on the face or neck, or is having difficulty breathing. NEXT
Remove all jewelry or clothing that could constrict the injured area and give it to the victim for safekeeping. NEXT
For jellyfish, sea anemone, or Portuguese man-of-war, liberally wash the injured area with vinegar as soon as possible for at least 30 seconds. Rubbing alcohol or baking soda can also be used if vinegar is not available. Do not rub the wound. NEXT
Flush the injured area with tap water or ocean water. NEXT
Immobilize the area and soak in hot water (as hot as the victim can tolerate) for about 30 minutes or until pain subsides. For stingray stings this may be 30-90 minutes. NEXT
If hot water is not available, dry hot packs or dry cold packs may be used to decrease pain. NEXT
Wrapping with pressure bandages or elastic bandages are not recommended as pressure causes further release of venom. NEXT
Dress the injured area with gauze and secure with tape. NEXT
Watch for allergic reaction and signs of infection which can include swelling and redness at the site of the wound, warmth or throbbing, pus, and fever. NEXT
Monitor and calm the victim. If at any time the victim loses consciousness or stops breathing, press CPR button. Forward past instructions already heard. NEXT
Shock often accompanies other medical emergencies. Signs of shock include: cold sweats & chills; pale, clammy skin; pale\bluish lips and fingernails; nausea, fast or irregular breathing; rapid pulse, anxiety & restlessness; extreme thirst; weakness, confusion, & unresponsiveness. NEXT
Does the victim show signs of shock?
Advise victim to seek appropriate medical care. NEXT
Press the arrow keys to repeat any instructions or press the Other button to restart instructions. END
Is this a tick bite?
Have the victim lie or sit down in the position most comfortable for him. NEXT
Using tweezers, grasp tick close to the skin and pull slowly. Place tick in a sealable bag for evaluation. If tick cannot be removed or parts remain under the skin, have victim seek appropriate medical care as soon as possible. NEXT
Do not attempt to burn the tick or apply any coatings, such as petroleum jelly or nail polish, to the tick. NEXT
Wash the site with soap and warm water or antiseptic wipes. Apply triple antibiotic ointment if the victim has no known allergies to the ointment. NEXT
Monitor and calm the victim. If at any time the victim loses consciousness or stops breathing, press CPR button. Forward past instructions already heard. NEXT
Advise the victim to seek appropriate medical care, particularly if he experiences joint pain or flu-like symptoms or a rash. NEXT
Press the arrow keys to repeat any instructions or press the Other button to restart instructions. END
Is this a childbirth emergency?
Is this a poison emergency or chemical threat?
Is this a biological threat?
Is this a radiation threat?
Monitor and calm the victim. If at any time the victim loses consciousness or stops breathing, press CPR button. Forward past instructions already heard. NEXT
Advise victim to seek appropriate medical care. NEXT
If there are any other life threatening injuries press the appropriate emergency button now. NEXT
Press other emergency buttons as needed to address other injuries or symptoms. NEXT
Press the arrow keys to repeat any instructions or press the Other button to restart instructions. END
Is the breathing emergency related to possible poisoning or drug use?
Signs of chemical poisoning by touch, swallowing, or breathing: choking and difficulty breathing; skin color change; dizziness; headache\blurred vision; stomach cramps or diarrhea; eye, skin or throat irritation; twitching; and lack of coordination. NEXT
Chemical poisoning can be a life-threatening emergency. A chemical attack is the deliberate release of a toxic gas, liquid or solid that can poison people and the environment. If you suspect poisoning or exposure to a toxic chemical call 911 or your designated emergency number. In the U.S. call the Poison Control Center 800-222-1222.NEXT
In Canada Poison Control is 800-268-9017. NEXT
Have the victim lie or sit down in the position most comfortable for him. NEXT
Find out: The name or description of the poison and how much was touched, inhaled or swallowed. The age and approximate weight of the victim. The time the poisoning occurred. And how the victim is feeling or acting now. NEXT
If a specific antedote is available administer per instructions if trained to do so or according to Poison Control Center or EMS dispatch assistance. NEXT
If the victim vomits, roll him onto his side to allow fluids to drain. Use gauze pads to clean his mouth. If his airway becomes obstructed or breathing becomes constricted, press the Breathing Choking button. NEXT
Monitor for shock and other life threatening symptoms. Press the appropriate emergency button for instructions as needed. Forward past instructions already heard. NEXT
Signs of chemical attack include many people suffering from these symptoms and many sick or dead animals in the area. NEXT
Remember that you can be exposed to chemicals and not see or smell anything unusual. NEXT
Is this a chemical burn to the skin?
If you see signs of chemical attack or exposure, quickly try to determine where the chemical is coming from and get as far away from the source as possible. Seek clean air. NEXT
If the chemical is inside a building where you are, get out of the building without passing through the contaminated area, if possible. NEXT
If you can't get out of the building or find clean air without passing through the area where you see signs of a chemical attack, it may be better to move as far away as possible and shelter-in-place. NEXT
If you are outside, quickly decide what is the fastest way to find clean air. Consider if you can get out of the area or if you should go inside the closest building and shelter-in-place. NEXT
If you think you may have been exposed to a chemical, strip immediately and wash. Look for a hose, fountain, or any source of water, and wash with soap if possible, being sure not to scrub the chemical into your skin. Seek emergency medical attention. NEXT
In the event of a major chemical emergency, watch TV, listen to the radio, or check the Internet for public safety announcements and instructions. NEXT
Press the arrow keys to repeat any instructions or press the Other button to restart instructions. END
A biological attack-deliberate release of germs or other biological substances that can make you sick if inhaled, ingested, or absorbed. Some cause contagious diseases. NEXT
A biological attack may not be immediately obvious. While you may see signs, it is more likely that local health workers will report a pattern of unusual illness or there will be a wave of sick people seeking emergency medical attention. You will probably learn of it through emergency radio/TV, or other community emergency signal. NEXT
In the event of a biological attack, public health officials may not immediately be able to provide information on what you should do. It will take time to determine exactly what the illness is, how it should be treated, and who is in danger. You should watch TV, listen to the radio, or check the Internet for official information on what to do. NEXT
During biological emergency: If person becomes sick, be suspicious. Do not assume should go to ER or that any illness is result of biological attack. Symptoms of common illnesses may overlap. Use common sense, practice good hygiene & cleanliness; avoid spreading germs; seek medical advice. Consider if you are in the area authorities believe to be in danger. If symptoms match those described and you're in group considered at risk, seek medical attention. NEXT
If potentially exposed: Follow instructions of doctors or public health officials. If the disease is contagious, expect to receive medical evaluation & treatment. You may be deliberately quarantined. For non-contagious diseases, expect to receive medical evaluation & treatment. NEXT
If you become aware of an unusual substance nearby: Quickly get away. Protect yourself by covering your mouth and nose with layers of fabric that can filter air but still allow breathing. Wash with soap and water. Contact authorities. Watch TV, listen to the radio or check internet for news and information. NEXT
If you become sick, seek emergency medical attention. NEXT
Press the arrow keys to repeat any instructions or press the Other button to restart instructions. END
A radiation threat is not a nuclear blast. The force of the explosion and radioactive contamination will be more localized. The presence of radiation will not be clearly defined until trained personnel with specialized equipment are on the scene. Try to limit exposure. Avoid breathing radiological dust that may be released in the air. NEXT
If there is a radiation threat or 'dirty bomb': NEXT
If outside and there is an explosion or authorities warn of radiation release nearby: cover nose &mouth & quickly go inside a building not damaged. If you are inside check to see if building has been damaged. If it is stable stay where you are. Close windows and doors; turn off air, heaters, and other ventilation systems. NEXT
If you are inside and there is an explosion near where you are or you are warned of a radiation release inside, cover nose and mouth and go outside immediately. Look for a building or other shelter that has not been damaged and quickly get inside. Once you are inside, close windows and doors; turn off air conditioners, heaters, or other ventilation systems. NEXT
If you think you have been exposed to radiation, take off your clothes and wash as soon as possible. NEXT
Stay where you are. Watch TV, listen to the radio, or check the internet for official news as it becomes available. NEXT
To limit the amount of radiation you are exposed to, think about shielding, distance and time. Any thick shield between you and the radioactive materials will help absorb the radiation and protect you. The farther you are from the blast, the lower your exposure. The less time you are exposed, the lower your risk. NEXT
As with any emergency, local authorities may not be able to immediately provide information on what is happening and what you should do. However, you should watch TV, listen to the radio, or check the Internet often for official news and information as it becomes available. NEXT
Press the arrow keys to repeat any instructions or press the Other button to restart instructions. END
Would you like a list of intake questions to ask victims or bystanders for handing off to advanced care later?
When performing a quick physical examination of the injured victim be careful not to move the victim's head or neck. Check the head for bleeding, check the ears for blood or fluid and check the pupils for equal size and how they react to the light. Note any abnormalities using a pen and paper. NEXT
The following are a comprehensive list of questions to ask the victim until advanced care arrives or to prepare for handing off to advanced care. NEXT
Use a pen and paper and get the victim's history and try to find out more about what happened and the victim's condition. What do you observe (signs) and how does the victim feel (symptoms)? Look for a medical alert necklace, bracelet or other forms of medical information. Ask the victim if they have any allergies. NEXT
Ask the victim and note if he is taking any medications or over-the-counter products and if they have had any previous problems. Ask the victim and note what and when he last ate or drank anything. Ask the victim what happened and try to identify the events that led to the situation. NEXT
If this is a victim experiencing chest or heart pain ask if the victim how long he has had the pain, if he suffered a blow to the chest, if he has a history of heart problems, gastrointestinal bleeding, bleeding disorder, allergies to aspirin, or any liver or kidney problems. Be sure to ask these questions prior to the victim taking any aspirin. Make legible notes with pen and paper. NEXT
Note if the victim has high blood pressure, is on blood thinners, has a terminal illness or if the victim or bystanders have any other pertinent information. NEXT
If you suspect a stroke, with a pen and paper note any of the following symptoms: facial droop or weakness on one side and which side; loss of balance/coordination; confusion or difficulty speaking or understanding speech; impaired vision or pupils of unequal size; inability to swallow or severe headache and how long these symptoms have been present. NEXT
Ask the victim when he last felt normal. Find out if he has had surgery or trauma in the last 2 months, had a history of stroke, brain tumor or aneurysm. Note any answers. NEXT
Check the skin appearance, temperature and moisture. Next, check chest and ask victim to breathe deeply. Check the abdomen, pelvis and hips for pain or deformity. Check upper extremities and lower extremities for any pain, deformity or bleeding. Make notes of any abnormalities. NEXT
Examine the victim from head to toe looking for anything out of the ordinary. Note any bleeding or wounds or swollen, deformed or painful areas and administer first aid as necessary. NEXT
Press the arrow keys to repeat any instructions or press the Other button to restart instructions. END
Do you want to use First Voice for refresher CPR, AED or First Aid skills practice?
Do you want to train on Automated External Defibrillator (AED) Use?
For infants under 1 year of age a manual defibrillator is preferred. However, if one is not present, an AED may be used. NEXT
When the AED arrives, if possible have another person help with applying the AED pads or electrodes, so as to not interrupt your ongoing CPR chest compressions and make sure the AED is turned on. Then, follow the AED instructions. If your AED does not provide CPR prompting assistance, you can use First Voice for CPR prompting and guidance. NEXT
Lay the AED on a flat surface. Be sure to operate the AED at least 6 feet away from all radio frequency devices and susceptible equipment. Otherwise, switch off equipment affected by or causing electromagnetic interference. NEXT
Press the ON button and follow the audible AED instructions if provided while removing clothing from victim's chest, with scissors if available in your supplies. NEXT
In some models, you may need to plug the electrode pad cables into the AED after you turn on the unit. Also, some AEDs have separate pediatric electrodes. NEXT
Follow pad placement instructions provided by the AED and generally shown on the AED electrode pads or AED itself. Pad placement generally should be on the adult victim's upper right chest and lower left side. For children under 8 years or 55 pounds pad placement is generally on the front and back of the chest. NEXT
When using the AED you will need to exercise precautions: If a victim's chest is covered in water, if medication patches are on the skin in areas where the AED electrodes need to be attached, if a lump from a pacemaker or implanted defibrillator is visibly seen, or if the victim has excessive body hair. NEXT
If the victim is lying in a large pool of water with any part of their chest underwater or the entire surface area of their chest is wet, move the victim out of the pool of water so the chest is fully exposed and wipe off excess water. Adhere AED electrodes to the skin and follow AED instructions. NEXT
If the victim has a medication patch remove it with a gloved hand and wipe away excess medicine or moisture. Adhere AED electrodes to the skin and follow AED instructions. NEXT
If the victim has a visible lump from a pacemaker or implanted defibrillator be sure to adhere the AED electrode pad at least 1 inch away from this lump. NEXT
If the victim has excessive body hair it may prevent electrode adhesion to the skin, not allowing proper pad detection by the AED. Use the razor, if available in your supplies, to shave the victim's chest before applying the electrodes. Otherwise, apply the electrode and rip away, quickly removing excess hair from victim's chest. Remove hair from pad and reapply electrode or switch to spare set of electrode pads, if available and necessary. NEXT
Let the AED analyze the victim's heart rhythm and provide instructions on if a shock is advised. Make sure that no one is touching the victim and say 'Everyone stand clear' prior to the AED automatically shocking or before you press the shock button. NEXT
If the AED advises, press the shock button otherwise, if the AED is an automatic model it will deliver a shock as needed. NEXT
If the AED does not advise a shock, immediately proceed with chest compressions and provide CPR until the AED reanalyzes. NEXT
Be sure to follow proper AED maintenance and care as recommended by the manufacturer. Generally a 30 day AED check should be performed to ensure the equipment is in proper working order. Be sure to keep AED battery and electrodes current and within product expiration dates. NEXT
If you use the AED for a rescue event be sure to contact your AED program administrator or medical director and download post-event data from the AED per manufacturer instructions. Provide post-event data to appropriate medical or EMS professionals. Be sure to erase recorded event from AED after downloading to computer or other device. NEXT
Remove pads and dispose of as recommended per manufacturer instructions. Check AED for any visual signs damage that may have occurred during use, reporting problems to manufacturer immediately. Perform a battery insertion test on the AED and replace battery as needed. Clean AED using proper BBP procedures, replacing pads and other supplies as needed. Reorder any supplies as needed before placing AED back into service. NEXT
Notify AED program coordinator if equipment does not turn on, if equipment has a problem indicator light or audible beep warning or if there are any other problems or missing equipment. Take AED out of service until problem with equipment is resolved. NEXT
Press the arrow keys to repeat any instructions or press the Other button to restart instructions. END
Do you want to refresh on Lay Rescuer CPR skills?
Tap the person's shoulder or shout 'Are you okay?' CPR should only be performed if the victim is unconscious, not breathing OR not breathing normally and only gasping. NEXT
If the victim is not responsive immediately begin CPR. Otherwise, check for any life-threatening conditions and ensure the victim maintains an open airway. If there are no head neck and spinal injuries suspected have the victim sit or lie in the most comfortable position. NEXT
If 911 has not been called, have someone call this or your designated emergency number. NEXT
The victim should be on their back on a solid surface. NEXT
Rescuers should be positioned on either side of the victim. Every 2 minutes or after 5 cycles rescuers should rotate the compressor role to eliminate fatigue. Every effort should be made to accomplish this switch to a new compressing rescuer in less than 5 seconds. Ideally it should occur during CPR necessary intervention, such as when the AED is delivering a shock or analyzing. NEXT
Child CPR is performed on children approximately 1 year of age up to 8 years of age or 55 pounds. NEXT
Infant CPR is performed on infants up to 1 year of age. NEXT
Adult CPR is performed on victims ages 8 or over or 55 pounds or over. NEXT
For all victims, press hard and fast at 100 beats per minute, allowing the chest to have full recoil after each chest compression. For adults push at least 2 inches deep. For children press approximately 2 inches deep or at least 1/3 the depth of the chest. For infants push at least 1.5 inches deep or at least 1/3 the depth of the chest. NEXT
Do you want to refresh on correct CPR metronome of 100 beats per minute?
CPR Metronome is at 100 beats per minute and will play for 3 minutes to allow training practice. NEXT
Continue CPR until the victim begins to move, an AED arrives, or advanced care takes over. NEXT
Do you want to refresh on head-tilt & chin-lift procedures for clearing the airway and providing breaths?
Place a breathing barrier over the victim's mouth and pinch his nose shut. Tilt the head and lift the chin to open the airway. Take a normal breath, make a tight seal over the barrier with your mouth, and give 2 rescue breaths lasting 1 second each. If the first breath does not make the chest rise, lift the chin and tilt the head again before you give the second breath. Breathe, Breathe. NEXT
Do you want to refresh on CPR procedures for a choking victim?
The following procedures are recommended for victims that are choking and become unresponsive. NEXT
Rescuers should perform a quick inspection of the mouth before delivering breaths and look for any object that may have been expelled. If you see the object, perform a finger sweep and remove it. NEXT
Do you know how and why to put the victim in the recovery position?
If there is fluid or vomit in the victim's mouth, place him in the recovery position, lying on his side, to allow fluid to drain from the mouth. NEXT
If the victim has a possible head/neck/spine injury, do not move him even if he is found face down - unless his airway is compromised by vomiting or copious secretions or if you must leave him temporarily. If you must move the victim for these reasons, extend one of his arms above his head and roll his body to the side so that his head rests on the extended arm. Bend both legs for stability. NEXT
If head/neck/spine injuries are not suspected, place the victim in the recovery position. Position yourself at the person's side. Move the arm farthest away from you up next to the victim's head. Cross the other arm over the chest and bend the leg closest to you. Gently roll the victim away from you while supporting his shoulder and hip. Support his head so that fluids can drain from his mouth. NEXT
Do you want to refresh on Basic First Aid skills?
First, check to be certain the scene is safe and visually assess the area for any clues about the emergency. Do not approach the victim if the scene is not safe, call 911 or your designated emergency number immediately. NEXT
Grab available first aid supplies and an AED, if available, and put on protective items such as safety gloves. Identify yourself and ask the victim for permission to provide care. If permission is refused, do not proceed. Call 911 or your designated emergency contact number. NEXT
If there are multiple victims the 1st priority is on victims with life-threatening injuries who can not wait for help. 2nd priority is for victims with injuries that need care very soon but may be able to wait. 3rd priority is for victims with minor injuries who can walk. 4th priority is for those who can not be saved and are obviously dead, unresponsive and not breathing. NEXT
When there are multiple victims needing care be sure to call 911 immediately and tell the dispatcher there are multiple victims. Ask any victims who can walk to move to one side. With remaining victims, spend one minute or less performing a quick assessment do not start giving care until you have checked all victims. NEXT
Ask any bystanders with first aid training to help you with victims as needed. Care for 1st priority victims first and move to 2nd priority victims only when the 1st priority victims are stable. NEXT
If the victim has a possible head/neck/spine injury, do not move him - even if he is face found face down. If the victim's airway is compromised by vomiting or copious secretions or if you must leave him temporarily, place him in the recovery position on his side ensuring his airway is open. NEXT
Train on various ways to move the victim immediately if his or the rescuer's safety is threatened. If you are a lone rescuer, move the victim either by the shoulder drag, ankle drag, or blanket drag. If there are two rescuers additional options include the two-person walking assist or two-handed seat carry. If there are more then two rescuers the hammock carry is also an option. NEXT
Tap the person's shoulder or shout 'Are you okay?' CPR should only be performed if the victim is unconscious, not breathing OR not breathing normally and only gasping. NEXT
If the victim is unresponsive or unconscious immediately call 911 and begin CPR. Otherwise, check for any life-threatening conditions and ensure the victim maintains an open airway. NEXT
Call 911 or your designated emergency number if someone is seriously ill or hurt or you are not sure what to do. NEXT
Try to determine the part of the body affected and the source of the injury by calmly reassuring the victim and visually assessing the area for clues. Internal injuries may exist with no visible symptoms. NEXT
Examine the victim from head to toe looking for anything out of the ordinary. Note any bleeding or wounds or swollen, deformed or painful areas and administer first aid as necessary. NEXT
Check victim for possible medical alert identification and information. If victim is suspected or known to be having a severe allergic reaction the immediate use of the victim's epi-pen is recommended, help the victim administer per directions. NEXT
Begin to gather and write down information that will be helpful to advanced care, if necessary. Helpful assessment and intake questions are provided by First Voice under the Other button. NEXT
For anyone with suspected stroke or heart attack symptoms and chest discomfort, if 911 has not been called assign someone or do it yourself immediately. NEXT
If the person has other medication as prescribed by his doctor, have him use this as the doctor has directed. NEXT
Remove all jewelry or clothing that could constrict the injured area and give it to the victim for safekeeping. NEXT
Continually monitor victim's breathing and watch for signs of shock. If at any time the victim loses consciousness or stops breathing make sure 911 has been called and begin CPR. NEXT
If there is no evidence of head, neck or spinal injury and trauma AND if raising the feet does not cause the victim any pain, elevate the feet 6 to 12 inches. Do not elevate the feet if the position causes the victim any pain. NEXT
Help the victim avoid becoming chilled or overheated. NEXT
If there are any life threatening injuries make sure 911 is called and address them, using First Voice for key reminders and instructions as necessary. NEXT
As soon as possible after the victim is treated and stabilized clean up any blood or body fluids left in the area using safety gloves. If a Bloodborne Pathogens Cleanup Kit is available, follow the instructions for use. When finished, wash hands. NEXT
Advise the victim to seek appropriate medical care if 911 has not been called and if this was not a life-threatening emergency. NEXT
Do you want to train on how to check the victim?
If the victim is unresponsive or unconscious immediately call 911 and begin CPR. Otherwise, check for any life-threatening conditions and ensure the victim maintains an open airway. NEXT
When performing a quick physical examination of the injured victim be careful not to move the victim unless they stop breathing and their airway needs to be opened. Check the head for bleeding, check the ears for blood or fluid and check the pupils for equal size and how they react to the light. Note any abnormalities using a pen and paper. NEXT
Examine the victim from head to toe looking for anything out of the ordinary. Note any bleeding or wounds or swollen, deformed or painful areas and administer first aid as necessary. NEXT
Call 911 or your designated emergency number if someone is seriously ill or hurt or you are not sure what to do. NEXT
For anyone with suspected stroke or heart attack symptoms and chest discomfort, if 911 has not been called assign someone or do it yourself immediately. NEXT
Check the skin appearance, temperature and moisture. Next, check chest and ask victim to breathe deeply. Check the abdomen, pelvis and hips for pain or deformity. Check upper extremities and lower extremities for any pain, deformity or bleeding. Make notes of any abnormalities. NEXT
If you suspect a stroke, with a pen and paper note any of the following symptoms: facial droop or weakness on one side and which side; loss of balance/coordination; confusion or difficulty speaking or understanding speech; impaired vision or pupils of unequal size; inability to swallow or severe headache and how long these symptoms have been present. NEXT
Would you like a list of key information to ask victims or bystanders?
Do you know when to suspect Head Neck or Spinal injuries?
Lightning or electrical shock often causes multiple trauma including spinal injury, fractures, internal injuries, and muscular strain. NEXT
Suspect spinal injury for a victim that is approximately 65 years of age or older, is a Driver, passenger or pedestrian in a bicycle, motorcycle or motor vehicle accident, has fallen from a distance, has tingling in extremities, pain or tenderness in the neck or back, muscle weakness or sensory deficit, appears intoxicated or not fully alert or has other painful injuries, especially to the head or neck. Or if this is a child 2 years or older with evidence of head or neck trauma. NEXT
If there is severe bleeding of the eye, be aware that there may be injuries to the head, neck, or spine or broken facial bones. NEXT
Check the body for the source and exact location of the bleeding. If the wound is in the head, chest, or torso, assume neck or spine injuries. NEXT
Is this a bite or sting?
Do you want to train on Homeland Security Emergencies?
Signs of chemical poisoning by touch, swallowing, or breathing: choking and difficulty breathing; skin color change; dizziness; headache\blurred vision; stomach cramps or diarrhea; eye, skin or throat irritation; twitching; and lack of coordination. NEXT
Chemical poisoning can be a life-threatening emergency. A chemical attack is the deliberate release of a toxic gas, liquid or solid that can poison people and the environment. If you suspect poisoning or exposure to a toxic chemical call 911 or your designated emergency number. In the U.S. call the Poison Control Center 800-222-1222.NEXT
In Canada Poison Control is 800-268-9017. NEXT
Have the victim lie or sit down in the position most comfortable for him. NEXT
Find out: The name or description of the poison and how much was touched, inhaled or swallowed. The age and approximate weight of the victim. The time the poisoning occurred. And how the victim is feeling or acting now. NEXT
If a specific antedote is available administer per instructions if trained to do so or according to Poison Control Center or EMS dispatch assistance. NEXT
If the victim vomits, roll him onto his side to allow fluids to drain. Use gauze pads to clean his mouth. If his airway becomes obstructed or breathing becomes constricted, press the Breathing Choking button. NEXT
Monitor for shock and other life threatening symptoms. Press the appropriate emergency button for instructions as needed. Forward past instructions already heard. NEXT
Signs of chemical attack include many people suffering from these symptoms and many sick or dead animals in the area. NEXT
Remember that you can be exposed to chemicals and not see or smell anything unusual. NEXT
If you see signs of chemical attack or exposure, quickly try to determine where the chemical is coming from and get as far away from the source as possible. Seek clean air. NEXT
If the chemical is inside a building where you are, get out of the building without passing through the contaminated area, if possible. NEXT
If you can't get out of the building or find clean air without passing through the area where you see signs of a chemical attack, it may be better to move as far away as possible and shelter-in-place. NEXT
If you are outside, quickly decide what is the fastest way to find clean air. Consider if you can get out of the area or if you should go inside the closest building and shelter-in-place. NEXT
If you think you may have been exposed to a chemical, strip immediately and wash. Look for a hose, fountain, or any source of water, and wash with soap if possible, being sure not to scrub the chemical into your skin. Seek emergency medical attention. NEXT
In the event of a major chemical emergency, watch TV, listen to the radio, or check the Internet for public safety announcements and instructions. NEXT
A biological attack-deliberate release of germs or other biological substances that can make you sick if inhaled, ingested, or absorbed. Some cause contagious diseases. NEXT
A biological attack may not be immediately obvious. While you may see signs, it is more likely that local health workers will report a pattern of unusual illness or there will be a wave of sick people seeking emergency medical attention. You will probably learn of it through emergency radio/TV, or other community emergency signal. NEXT
In the event of a biological attack, public health officials may not immediately be able to provide information on what you should do. It will take time to determine exactly what the illness is, how it should be treated, and who is in danger. You should watch TV, listen to the radio, or check the Internet for official information on what to do. NEXT
During biological emergency: If person becomes sick, be suspicious. Do not assume should go to ER or that any illness is result of biological attack. Symptoms of common illnesses may overlap. Use common sense, practice good hygiene & cleanliness; avoid spreading germs; seek medical advice. Consider if you are in the area authorities believe to be in danger. If symptoms match those described and you're in group considered at risk, seek medical attention. NEXT
If potentially exposed: Follow instructions of doctors or public health officials. If the disease is contagious, expect to receive medical evaluation & treatment. You may be deliberately quarantined. For non-contagious diseases, expect to receive medical evaluation & treatment. NEXT
If you become aware of an unusual substance nearby: Quickly get away. Protect yourself by covering your mouth and nose with layers of fabric that can filter air but still allow breathing. Wash with soap and water. Contact authorities. Watch TV, listen to the radio or check internet for news and information. NEXT
If you become sick, seek emergency medical attention. NEXT
A radiation threat is not a nuclear blast. The force of the explosion and radioactive contamination will be more localized. The presence of radiation will not be clearly defined until trained personnel with specialized equipment are on the scene. Try to limit exposure. Avoid breathing radiological dust that may be released in the air. NEXT
If there is a radiation threat or 'dirty bomb': NEXT
If outside and there is an explosion or authorities warn of radiation release nearby: cover nose &mouth & quickly go inside a building not damaged. If you are inside check to see if building has been damaged. If it is stable stay where you are. Close windows and doors; turn off air, heaters, and other ventilation systems. NEXT
If you are inside and there is an explosion near where you are or you are warned of a radiation release inside, cover nose and mouth and go outside immediately. Look for a building or other shelter that has not been damaged and quickly get inside. Once you are inside, close windows and doors; turn off air conditioners, heaters, or other ventilation systems. NEXT
If you think you have been exposed to radiation, take off your clothes and wash as soon as possible. NEXT
Stay where you are. Watch TV, listen to the radio, or check the internet for official news as it becomes available. NEXT
To limit the amount of radiation you are exposed to, think about shielding, distance and time. Any thick shield between you and the radioactive materials will help absorb the radiation and protect you. The farther you are from the blast, the lower your exposure. The less time you are exposed, the lower your risk. NEXT
As with any emergency, local authorities may not be able to immediately provide information on what is happening and what you should do. However, you should watch TV, listen to the radio, or check the Internet often for official news and information as it becomes available. NEXT
Do you want CPR First Aid training drill practice?
Refer to your First Voice Training Drill Kit for supplies that may include job duty assignments; evaluator supplies; training scenarios; CPR manikins and feedback devices; personal protective equipment; AED trainers and any other first aid practice equipment. NEXT
Assign job duties including Evaluator, 1st Responder, AED Runner, 911 Caller, 2nd Responder, Crowd Control and Crowd Members. Make sure you refer to your company Emergency Response protocols and include any extra job duty assignments as necessary. NEXT
Select the training scenario emergency you will practice. Important life-threatening emergencies to refresh on include cardiac arrest, severe bleeding or burn injuries, choking, severe allergic reactions, heat stroke and injuries where the victim has fallen or been struck by an object. NEXT
Evaluator supplies should include First Aid & CPR skills checklist and training drill practice form. Evaluator should note the time for response, fill out the checklists and make notes on the forms that will be helpful for a lessons learned recap at the end of the drill. NEXT
Be sure to use First Voice to review on any first aid or CPR reminders during the training drill. Press the appropriate emergency buttons as necessary. If there are any lessons learned, summarize these before the close of the exercise. NEXT
Is this a training event?
To refresh on other CPR, first aid or homeland security emergencies press the Other button as needed. END
Do not remove the stinger if doing so will cause severe bleeding or further injury to the victim. Secure the stinger in place and control bleeding by placing cloth or gauze around the stinger. Wrap with stretch gauze around the wound and secure in place if possible. Apply pressure around the wound to stop bleeding. NEXT
If there is pain, bleeding or more than a minor wound and symptoms such as vomiting, faintness or sweating exist seek advanced care immediately. Call 911 or your designated emergency number if there are other life-threatening symptoms such as breathing problems, changes in consciousness or severe bleeding. NEXT
If you are a member of Divers Alert Network (DAN) refer to your DAN tag or membership card for pertinent information on calling for medical evacuation assistance. [Diving Emergencies: 919-684-9111] NEXT
Monitor and calm the victim. If at any time the victim loses consciousness or stops breathing, press CPR button. Forward past instructions already heard. NEXT
If it is possible to remove the stinger and not cause further injury do so with tweezer or other tool to decrease toxin exposure. NEXT
Remove all jewelry or clothing that could constrict the injured area and give it to the victim for safekeeping. NEXT
First, check to be certain the scene is safe and visually assess the area for any clues about the emergency. NEXT
Is it safe for you to approach the victim?
You have indicated the scene is not safe. Do not put yourself in jeopardy. Wait for advanced care or other assistance and do not approach victim! NEXT
If 911 has not been called, have someone call this or your designated emergency number. NEXT
Press arrow keys as needed or press the CPR button to restart instructions. END
Are you trained in CPR rescue breathing or providing ventilations?
In the first minutes of sudden cardiac arrest the victim may be occasionally gasping. These gasps should not be confused with adequate or normal breathing. Gasping is commonly misinterpreted as a sign of life or response and normal breathing. If the victim is gasping, proceed as if the victim is not breathing normally. NEXT
Assume cardiac arrest if the victim suddenly collapses, is unresponsive, is not breathing or is only gasping and not breathing normally. NEXT
Is this a suspected cardiac arrest?
Is this an unconscious choking victim?
If the victim becomes unconscious or unresponsive the rescuer should carefully support the victim to the ground and begin CPR chest compressions. NEXT
Are you trained in unconscious or unresponsive choking rescue?
Check victim for possible medical alert identification and information. If victim is suspected or known to have anaphylactic or severe allergic reactions the immediate use of the victim's epi-pen is recommended - if one is available, you are trained in proper use. If you are a trained healthcare provider follow your state laws on scope of practice and epinephrine administration. NEXT
Tap the person's shoulder or shout 'Are you okay?' CPR should only be performed if the victim is unconscious OR not breathing. If this does not describe the victim, press the button that most closely fits the emergency. NEXT
Is the victim age 8 or over?
Is this an infant under 1?
Was this baby just delivered during emergency childbirth?
Is a second person available to help?
Shout for help. Open any first aid supplies and put on protective items such as safety gloves. NEXT
Are you unable to perform rescue breaths due to lacking or improper personal protective equipment?
Have someone call 911 or your designated emergency number and grab an AED if available. Open any first aid supplies and put on protective items such as safety gloves. NEXT
Are you unable to perform rescue breaths due to lacking or improper personal protective equipment?
Rescuers should be positioned on either side of the victim. Every 2 minutes or after 5 cycles rescuers should rotate the compressor role to eliminate fatigue and deterioration of CPR quality. Every effort should be made to accomplish this switch to a new compressing rescuer in less than 5 seconds. Ideally it should occur during CPR necessary intervention, such as when the AED is delivering a shock or analyzing. NEXT
For infants under 1 year of age a manual defibrillator is preferred. However, if one is not present, an AED may be used. NEXT
If the victim is lying in a large pool of water with any part of their chest underwater or the entire surface area of their chest is wet, move the victim out of the pool of water so the chest is fully exposed and wipe off excess water. Adhere AED electrodes to the skin and follow AED instructions. NEXT
When the AED arrives, if possible have another person help with applying the AED pads or electrodes, so as to not interrupt your ongoing CPR chest compressions and make sure the AED is turned on. Then, follow the AED instructions. If your AED does not provide CPR prompting assistance, you can use First Voice for CPR prompting and guidance. NEXT
The victim should be on their back on a solid surface. NEXT
If an AED is available use it now. Otherwise, place 2 fingers on sternum between nipples. Push hard and fast at approximately 1.5 inches, allowing the chest to recoil completely after each compression. 30 compressions at 100 compressions per minute. 30 compressions. NEXT
Place a breathing barrier over the victim's mouth and nose. Support the neck, tilt the head, and lift the chin to open the airway. Take a normal breath, make a tight seal over the barrier with your mouth, and give 2 rescue breaths lasting 1 second each. Did the breaths go in as seen by rise/fall of chest?
If an AED is available use it now. Otherwise, place 2 fingers on sternum between nipples. Push hard and fast approximately 1.5 inches. Give 30 compressions at 100BPM allowing chest to recoil then 2 breaths and repeat cycle. After 5 cycles call 911 if you have not done so. Grab AED and turn it on. Continue providing CPR. If the victim wakes or moves press NEXT.
Is the victim moving or conscious?
Continue CPR until the victim begins to move, an AED arrives, or advanced care takes over. If the victim begins to move press NEXT.
Is the victim moving or conscious?
If an AED is available use it now. Place two fingers on sternum between nipples. Push hard and fast at 100 compressions per minute approximately 1.5 inches deep, allowing the chest to recoil. Inspect mouth. Give 2 breaths. Call 911 after 5 cycles of CPR. Continue CPR cycles until victim wakes, moves or advanced care takes over. NEXT
Has the object been expelled?
Is the victim moving or conscious?
Continue CPR until the object is expelled, the victim begins to move, or advanced care takes over. Once the object is expelled press NEXT.
Has the object been expelled?
If 911 has not been called, stop or pause the unit. Call 911 or your designated emergency number before continuing. NEXT
If the victim has a possible head/neck/spine injury, do not move him unless his airway is compromised by vomiting or copious secretions or if you must leave him temporarily. If you must move the victim for these reasons, extend one of his arms above his head and roll his body to the side so that his head rests on the extended arm. Bend both legs for stability. NEXT
If head/neck/spine injuries are not suspected, place the victim in the recovery position. Position yourself at the person's side. Move the arm farthest away from you up next to the victim's head. Cross the other arm over the chest and bend the leg closest to you. Gently roll the victim away from you while supporting his shoulder and hip. Support his head so that fluids can drain from his mouth. NEXT
Monitor and calm the victim. If at any time the victim loses consciousness or stops breathing, press CPR button. Forward past instructions already heard. NEXT
Monitor for shock, hypothermia, and other life threatening symptoms. Press the appropriate emergency button for instructions as needed. NEXT
If the victim appears stable gather whatever information you can from the victim, family members, or bystanders until advanced care arrives. Press the OTHER button for a list of questions to ask. NEXT
As soon as possible after the victim is treated and stabilized clean up any blood or body fluids left in the area using safety gloves. If a Bloodborne Pathogens Cleanup Kit is available, follow the instructions for use. When finished, wash hands. NEXT
Press arrow keys as needed or press the CPR button to restart instructions. END
Is a second person available to help?
Press arrow keys as needed or press the CPR button to restart instructions. END
Call 911 or your designated emergency number and grab and turn on AED if available. Open any first aid supplies and put on protective items such as safety gloves. NEXT
Are you unable to perform rescue breaths due to lacking or improper personal protective equipment?
Have someone call 911 or your designated emergency number and grab an AED if available. Open any first aid supplies and put on protective items such as safety gloves. NEXT
Are you unable to perform rescue breaths due to lacking or improper personal protective equipment?
The victim should be on their back on a solid surface. NEXT
Rescuers should be positioned on either side of the victim. Every 2 minutes or after 5 cycles rescuers should rotate the compressor role to eliminate fatigue and deterioration of CPR quality. Every effort should be made to accomplish this switch to a new compressing rescuer in less than 5 seconds. Ideally it should occur during CPR necessary intervention, such as when the AED is delivering a shock or analyzing. NEXT
When using the AED you will need to exercise precautions: If a victim's chest is covered in water, if medication patches are on the skin in areas where the AED electrodes need to be attached, if a lump from a pacemaker or implanted defibrillator is visibly seen, or if the victim has excessive body hair. NEXT
Do you need more information on any of these special precautions?
When the AED arrives, if possible have another person help with applying the AED pads or electrodes, so as to not interrupt your ongoing CPR chest compressions and make sure the AED is turned on. Then, follow the AED instructions. If your AED does not provide CPR prompting assistance, you can use First Voice for CPR prompting and guidance. NEXT
If the victim is lying in a large pool of water with any part of their chest underwater or the entire surface area of their chest is wet, move the victim out of the pool of water so the chest is fully exposed and wipe off excess water. Adhere AED electrodes to the skin and follow AED instructions. NEXT
If the victim has a medication patch remove it with a gloved hand and wipe away excess medicine or moisture. Adhere AED electrodes to the skin and follow AED instructions. NEXT
If the victim has a visible lump from a pacemaker or implanted defibrillator be sure to adhere the AED electrode pad at least 1 inch away from this lump. NEXT
If the victim has excessive body hair it may prevent electrode adhesion to the skin, not allowing proper pad detection by the AED. Use the razor, if available in your supplies, to shave the victim's chest before applying the electrodes. Otherwise, apply the electrode and rip away, quickly removing excess hair from victim's chest. Remove hair from pad and reapply electrode or switch to spare set of electrode pads, if available and necessary. NEXT
If an AED is available use it now. Otherwise, place the heel of your hand on the lower half of the sternum between the nipples. Place your other hand on top, position your shoulders over your hands, and lock your elbows. Push hard and fast at least 2 inches deep, allowing the chest to recoil completely after each compression. 30 compressions. NEXT
Place a breathing barrier over the victim's mouth and pinch his nose shut. Tilt the head and lift the chin to open the airway. Take a normal breath, make a tight seal over the barrier with your mouth, and give 2 rescue breaths lasting 1 second each. If the first breath does not make the chest rise, lift the chin and tilt the head again before you give the second breath. Did the breaths go in as seen by rise/fall of chest?
If an AED is available use it now. Otherwise, place the heel of one hand on lower half of sternum between nipples. Place other hand on top, push hard and fast at least 2 inches. Give 30 compressions at 100BPM allowing the chest to recoil then 2 breaths and repeat cycle. Continue providing CPR. If the victim wakes or moves press NEXT.
Is the victim moving or conscious?
Continue CPR until the victim begins to move, an AED arrives, or advanced care takes over. If the victim begins to move press NEXT.
Is the victim moving or conscious?
Resume CPR. Give 30 compressions: inspect the mouth for object: 2 breaths. Call 911 or your emergency number if you have not done so. Grab and turn on AED and follow instructions of AED and continue CPR and mouth checks. If object becomes expelled or victim resuscitates press NEXT.
Has the object been expelled?
Is the victim moving or conscious?
Immediately use the AED if available. Continue CPR until the object is expelled, an AED arrives, the victim begins to move, or advanced care takes over. 30 compressions:quick mouth check:2 breaths. Once the object is expelled press NEXT.
Has the object been expelled?
Is a second person available to help?
Shout for help. Open any first aid supplies and put on protective items such as safety gloves. NEXT
Are you unable to perform rescue breaths due to lacking or improper personal protective equipment?
Have someone call 911 or your designated emergency number and grab an AED if available. Open any first aid supplies and put on protective items such as safety gloves. NEXT
Are you unable to perform rescue breaths due to lacking or improper personal protective equipment?
The victim should be on their back on a solid surface. NEXT
Rescuers should be positioned on either side of the victim. Every 2 minutes or after 5 cycles rescuers should rotate the compressor role to eliminate fatigue and deterioration of CPR quality. Every effort should be made to accomplish this switch to a new compressing rescuer in less than 5 seconds. Ideally it should occur during CPR necessary intervention, such as when the AED is delivering a shock or analyzing. NEXT
When the AED arrives, if possible have another person help with applying the AED pads or electrodes, so as to not interrupt your ongoing CPR chest compressions and make sure the AED is turned on. Then, follow the AED instructions. If your AED does not provide CPR prompting assistance, you can use First Voice for CPR prompting and guidance. NEXT
If the victim is lying in a large pool of water with any part of their chest underwater or the entire surface area of their chest is wet, move the victim out of the pool of water so the chest is fully exposed and wipe off excess water. Adhere AED electrodes to the skin and follow AED instructions. NEXT
If an AED is available use it now. Otherwise, place heel of your hand on lower half of sternum between nipples. Press hard and fast approximately 2 inches. Give 30 compressions at 100BPM allowing chest to recoil. 30 compressions. NEXT
Place a breathing barrier over the victim's mouth and pinch his nose shut. Tilt the head and lift the chin to open the airway. Take a normal breath, make a tight seal over the barrier with your mouth, and give 2 rescue breaths lasting 1 second each. If the first breath does not make the chest rise, lift the chin and tilt the head again before you give the second breath. BREATHE BREATHE. Did the breaths go in as seen by the rise and fall of the chest?
If an AED is available use it now. Otherwise, place heel of your hand on lower half of sternum between nipples. Press hard and fast approximately 2 inches. Give 30 compressions at 100BPM allowing chest to recoil then 2 breaths and repeat cycle. After 5 cycles call 911 if you have not done so. Grab AED and turn on. Continue providing CPR. If the victim wakes or moves press NEXT.
Is the victim moving or conscious?
Continue CPR until the victim begins to move, an AED arrives, or advanced care takes over. If the victim begins to move press NEXT.
Is the victim moving or conscious?
When the AED arrives, if possible have another person help with applying the AED pads or electrodes, so as to not interrupt your ongoing CPR chest compressions and make sure the AED is turned on. Then, follow the AED instructions. If your AED does not provide CPR prompting assistance, you can use First Voice for CPR prompting and guidance. NEXT
If an AED is available use it now. Place hand on lower half of sternum between nipples. Push hard and fast at 100 compressions per minute approximately 2 inches, allowing chest to recoil. Inspect mouth. Give 2 breaths. Call 911 after 5 cycles of CPR. Continue CPR cycles until victim expels object, wakes, moves or advanced care takes over. NEXT
Has the object been expelled?
Is the victim moving or conscious?
If an AED is available use it now. Place hand on lower half of sternum between nipples. Push hard and fast at 100 compressions per minute approximately 2 inches, allowing chest to recoil. Inspect mouth. Give 2 breaths. Call 911 after 5 cycles of CPR. Continue CPR cycles until victim expels object, wakes, moves or advanced care takes over. NEXT
Immediately use the AED if available. Continue CPR until the object is expelled, an AED arrives, the victim begins to move, or advanced care takes over. 30 compressions:quick mouth check:2 breaths. Once the object is expelled press NEXT.
Has the object been expelled?
If 911 has not been called, stop or pause the unit. Call 911 or your designated emergency number before continuing. NEXT
If the victim has a possible head/neck/spine injury, do not move him unless his airway is compromised by vomiting or copious secretions or if you must leave him temporarily. If you must move the victim for these reasons, extend one of his arms above his head and roll his body to the side so that his head rests on the extended arm. Bend both legs for stability. NEXT
If head/neck/spine injuries are not suspected, place the victim in the recovery position. Position yourself at the person's side. Move the arm farthest away from you up next to the victim's head. Cross the other arm over the chest and bend the leg closest to you. Gently roll the victim away from you while supporting his shoulder and hip. Support his head so that fluids can drain from his mouth. NEXT
Monitor and calm the victim. If at any time the victim loses consciousness or stops breathing, press CPR button. Forward past instructions already heard. NEXT
Monitor for shock, hypothermia, and other life threatening symptoms. Press the appropriate emergency button for instructions as needed. NEXT
If the victim appears stable gather whatever information you can from the victim, family members, or bystanders until advanced care arrives. Press the OTHER button for a list of questions to ask. NEXT
As soon as possible after the victim is treated and stabilized clean up any blood or body fluids left in the area using safety gloves. If a Bloodborne Pathogens Cleanup Kit is available, follow the instructions for use. When finished, wash hands. NEXT
Press arrow keys as needed or press the CPR button to restart instructions. END
The following protocol is for emergency childbirth situations only when advanced medical care cannot be provided in time for delivery. NEXT
Are you trained in unconscious or unresponsive choking rescue?
Are you unable to perform rescue breaths due to lacking or improper personal protective equipment?
Is a second person available to help?
Shout for help. Open any first aid supplies and put on protective items such as safety gloves. NEXT
The victim should be on their back on a solid surface. NEXT
Roll victim onto his back on a hard surface while carefully maintaining the head and neck. Lift the chin and place your palm on the forehead to tilt the head back to open the airway. Inspect the mouth and remove an object if one is seen. If fluids are present, carefully roll victim onto his side far enough for fluids to drain from the mouth or nose. Check for breathing for no more than 10 seconds. Is the victim breathing?
Have someone call 911 or your designated emergency number. Open any first aid supplies and put on protective items such as safety gloves. NEXT
The victim should be on their back on a solid surface. NEXT
Roll victim onto his back on a hard surface while carefully maintaining the head and neck. Lift the chin and place your palm on the forehead to tilt the head back to open the airway. Inspect the mouth and remove an object if one is seen. If fluids are present, carefully roll victim onto his side far enough for fluids to drain from the mouth or nose. Check for breathing for no more than 10 seconds. Is the victim breathing?
Continue to monitor the airway and check for breathing and movement. If at any time the person stops breathing, press CPR button to restart instructions. Forward past instructions already heard. NEXT
If 911 has not been called, stop or pause the unit. Call 911 or your designated emergency number before continuing. NEXT
If the victim appears stable gather whatever information you can from the victim, family members, or bystanders until advanced care arrives. Press the OTHER button for a list of questions to ask. NEXT
Press arrow keys as needed or press the CPR button to restart instructions. END
Place a breathing barrier over the victim's mouth and nose. Support the neck, tilt the head, and lift the chin to open the airway. Take a normal breath, make a tight seal over the barrier with your mouth, and give 2 rescue breaths lasting 1 second each. If the first breath does not make the chest rise, lift the chin and tilt the head again before you give the second breath. BREATHE BREATHE. Did the breaths go in as seen by the rise and fall of the chest?
For infants under 1 year of age a manual defibrillator is preferred. However, if one is not present, an AED may be used. NEXT
When the AED arrives, if possible have another person help with applying the AED pads or electrodes, so as to not interrupt your ongoing CPR chest compressions and make sure the AED is turned on. Then, follow the AED instructions. If your AED does not provide CPR prompting assistance, you can use First Voice for CPR prompting and guidance. NEXT
If the victim is lying in a large pool of water with any part of their chest underwater or the entire surface area of their chest is wet, move the victim out of the pool of water so the chest is fully exposed and wipe off excess water. Adhere AED electrodes to the skin and follow AED instructions. NEXT
Begin CPR. Place two fingers at the center of the sternum just below the nipple line. Give 3 compressions:1 breath. Avoid giving compressions and breaths simultaneously. Push hard and fast into 1/3 depth of the chest, allowing the chest to recoil completely after each compression. If after 5 cycles, 911 has not been called stop and resume CPR. Once the victim moves press NEXT.
Is the victim moving or conscious?
Continue CPR until the victim begins to move or advanced care takes over. If the victim begins to move press NEXT.
Is the victim moving or conscious?
The victim should be on their back on a solid surface. NEXT
For infants under 1 year of age a manual defibrillator is preferred. However, if one is not present, an AED may be used. NEXT
When the AED arrives, if possible have another person help with applying the AED pads or electrodes, so as to not interrupt your ongoing CPR chest compressions and make sure the AED is turned on. Then, follow the AED instructions. If your AED does not provide CPR prompting assistance, you can use First Voice for CPR prompting and guidance. NEXT
Begin CPR. Give 3 compressions:quick mouth check:1 breath. Call 911 or your emergency number if you have not done so. Continue CPR and mouth checks. If object becomes expelled or baby resuscitates press NEXT.
Has the object been expelled?
Is the victim moving or conscious?
Continue CPR until the object is expelled and the victim begins to move, or advanced care takes over. Once the object is expelled press NEXT.
Has the object been expelled?
The victim should be on their back on a solid surface. NEXT
For infants under 1 year of age a manual defibrillator is preferred. However, if one is not present, an AED may be used. NEXT
When the AED arrives, if possible have another person help with applying the AED pads or electrodes, so as to not interrupt your ongoing CPR chest compressions and make sure the AED is turned on. Then, follow the AED instructions. If your AED does not provide CPR prompting assistance, you can use First Voice for CPR prompting and guidance. NEXT
If an AED is available use it now. Otherwise, place 2 fingers on sternum between nipples. Push hard and fast approximately 1.5 inches. Give compressions at 100BPM allowing chest to recoil. Continue compressions until victim wakes or moves or advanced care takes over. NEXT
Is the victim moving or conscious?
Continue CPR until the victim begins to move, an AED arrives, or advanced care takes over. If the victim begins to move press NEXT.
Is the victim moving or conscious?
Tap the person's shoulder or shout 'Are you okay?' CPR should only be performed if the victim is unconscious OR not breathing. If this does not describe the victim, press the button that most closely fits the emergency. NEXT
Is the victim age 8 or over?
Is this an infant under 1?
Is a second person available to help?
Shout for help. Open any first aid supplies and put on protective items such as safety gloves. NEXT
Are you unable to perform rescue breaths due to lacking or improper personal protective equipment?
Have someone call 911 or your designated emergency number and grab an AED if available. Open any first aid supplies and put on protective items such as safety gloves. NEXT
Are you unable to perform rescue breaths due to lacking or improper personal protective equipment?
Rescuers should be positioned on either side of the victim. Every 2 minutes or after 5 cycles rescuers should rotate the compressor role to eliminate fatigue and deterioration of CPR quality. Every effort should be made to accomplish this switch to a new compressing rescuer in less than 5 seconds. Ideally it should occur during CPR necessary intervention, such as when the AED is delivering a shock or analyzing. NEXT
For infants under 1 year of age a manual defibrillator is preferred. However, if one is not present, an AED may be used. NEXT
The victim should be on their back on a solid surface. NEXT
If the victim is lying in a large pool of water with any part of their chest underwater or the entire surface area of their chest is wet, move the victim out of the pool of water so the chest is fully exposed and wipe off excess water. Adhere AED electrodes to the skin and follow AED instructions. NEXT
When the AED arrives, if possible have another person help with applying the AED pads or electrodes, so as to not interrupt your ongoing CPR chest compressions and make sure the AED is turned on. Then, follow the AED instructions. If your AED does not provide CPR prompting assistance, you can use First Voice for CPR prompting and guidance. NEXT
If an AED is available use it now. Otherwise, place 2 fingers on sternum between nipples. Push hard and fast at approximately 1.5 inches, allowing the chest to recoil completely after each compression. 30 compressions at 100 compressions per minute. 30 compressions. NEXT
Place a breathing barrier over the victim's mouth and nose. Support the neck, tilt the head, and lift the chin to open the airway. Take a normal breath, make a tight seal over the barrier with your mouth, and give 2 rescue breaths lasting 1 second each. NEXT
If an AED is available use it now. Otherwise, place 2 fingers on sternum between nipples. Push hard and fast approximately 1.5 inches. Give 30 compressions at 100BPM allowing chest to recoil then 2 breaths and repeat cycle. After 5 cycles call 911 if you have not done so. Grab AED and turn it on. Continue providing CPR. If the victim wakes or moves press NEXT.
Is the victim moving or conscious?
Continue CPR until the victim begins to move, an AED arrives, or advanced care takes over. If the victim begins to move press NEXT.
Is the victim moving or conscious?
If 911 has not been called, stop or pause the unit. Call 911 or your designated emergency number before continuing. NEXT
If the victim has a possible head/neck/spine injury, do not move him unless his airway is compromised by vomiting or copious secretions or if you must leave him temporarily. If you must move the victim for these reasons, extend one of his arms above his head and roll his body to the side so that his head rests on the extended arm. Bend both legs for stability. NEXT
If head/neck/spine injuries are not suspected, place the victim in the recovery position. Position yourself at the person's side. Move the arm farthest away from you up next to the victim's head. Cross the other arm over the chest and bend the leg closest to you. Gently roll the victim away from you while supporting his shoulder and hip. Support his head so that fluids can drain from his mouth. NEXT
Monitor and calm the victim. If at any time the victim loses consciousness or stops breathing, press CPR button. Forward past instructions already heard. NEXT
Monitor for shock, hypothermia, and other life threatening symptoms. Press the appropriate emergency button for instructions as needed. NEXT
If the victim appears stable gather whatever information you can from the victim, family members, or bystanders until advanced care arrives. Press the OTHER button for a list of questions to ask. NEXT
As soon as possible after the victim is treated and stabilized clean up any blood or body fluids left in the area using safety gloves. If a Bloodborne Pathogens Cleanup Kit is available, follow the instructions for use. When finished, wash hands. NEXT
Press arrow keys as needed or press the CPR button to restart instructions. END
Is a second person available to help?
Call 911 or your designated emergency number and grab and turn on AED if available. Open any first aid supplies and put on protective items such as safety gloves. NEXT
Are you unable to perform rescue breaths due to lacking or improper personal protective equipment?
Have someone call 911 or your designated emergency number and grab an AED if available. Open any first aid supplies and put on protective items such as safety gloves. NEXT
Are you unable to perform rescue breaths due to lacking or improper personal protective equipment?
The victim should be on their back on a solid surface. NEXT
Rescuers should be positioned on either side of the victim. Every 2 minutes or after 5 cycles rescuers should rotate the compressor role to eliminate fatigue and deterioration of CPR quality. Every effort should be made to accomplish this switch to a new compressing rescuer in less than 5 seconds. Ideally it should occur during CPR necessary intervention, such as when the AED is delivering a shock or analyzing. NEXT
When the AED arrives, if possible have another person help with applying the AED pads or electrodes, so as to not interrupt your ongoing CPR chest compressions and make sure the AED is turned on. Then, follow the AED instructions. If your AED does not provide CPR prompting assistance, you can use First Voice for CPR prompting and guidance. NEXT
When using the AED you will need to exercise precautions: If a victim's chest is covered in water, if medication patches are on the skin in areas where the AED electrodes need to be attached, if a lump from a pacemaker or implanted defibrillator is visibly seen, or if the victim has excessive body hair. NEXT
Do you need more information on any of these special precautions?
If an AED is available use it now. Otherwise, place the heel of your hand on the lower half of the sternum between the nipples. Place your other hand on top, position your shoulders over your hands, and lock your elbows. Push hard and fast at least 2 inches deep, allowing the chest to recoil completely after each compression. 30 compressions. NEXT
Place a breathing barrier over the victim's mouth and pinch his nose shut. Tilt the head and lift the chin to open the airway. Take a normal breath, make a tight seal over the barrier with your mouth, and give 2 rescue breaths lasting 1 second each. If the first breath does not make the chest rise, lift the chin and tilt the head again before you give the second breath.NEXT
If an AED is available use it now. Otherwise, place the heel of one hand on lower half of sternum between nipples. Place other hand on top, push hard and fast at least 2 inches. Give 30 compressions at 100BPM allowing the chest to recoil then 2 breaths and repeat cycle. If the victim wakes or moves press NEXT.
Is the victim moving or conscious?
Continue CPR until the victim begins to move, an AED arrives, or advanced care takes over. If the victim begins to move press NEXT.
Is the victim moving or conscious?
Is a second person available to help?
Shout for help. Open any first aid supplies and put on protective items such as safety gloves. NEXT
Are you unable to perform rescue breaths due to lacking or improper personal protective equipment?
Have someone call 911 or your designated emergency number and grab an AED if available. Open any first aid supplies and put on protective items such as safety gloves. NEXT
Are you unable to perform rescue breaths due to lacking or improper personal protective equipment?
The victim should be on their back on a solid surface. NEXT
Rescuers should be positioned on either side of the victim. Every 2 minutes or after 5 cycles rescuers should rotate the compressor role to eliminate fatigue and deterioration of CPR quality. Every effort should be made to accomplish this switch to a new compressing rescuer in less than 5 seconds. Ideally it should occur during CPR necessary intervention, such as when the AED is delivering a shock or analyzing. NEXT
If the victim is lying in a large pool of water with any part of their chest underwater or the entire surface area of their chest is wet, move the victim out of the pool of water so the chest is fully exposed and wipe off excess water. Adhere AED electrodes to the skin and follow AED instructions. NEXT
When the AED arrives, if possible have another person help with applying the AED pads or electrodes, so as to not interrupt your ongoing CPR chest compressions and make sure the AED is turned on. Then, follow the AED instructions. If your AED does not provide CPR prompting assistance, you can use First Voice for CPR prompting and guidance. NEXT
If an AED is available use it now. Otherwise, place heel of your hand on lower half of sternum between nipples. Press hard and fast approximately 2 inches. Give 30 compressions at 100BPM allowing chest to recoil. 30 compressions. NEXT
Place a breathing barrier over the victim's mouth and pinch his nose shut. Tilt the head and lift the chin to open the airway. Take a normal breath, make a tight seal over the barrier with your mouth, and give 2 rescue breaths lasting 1 second each. If the first breath does not make the chest rise, lift the chin and tilt the head again before you give the second breath. NEXT
If an AED is available use it now. Otherwise, place heel of your hand on lower half of sternum between nipples. Press hard and fast approximately 2 inches. Give 30 compressions at 100BPM allowing chest to recoil then 2 breaths and repeat cycle. After 5 cycles call 911 if you have not done so. Grab AED and turn on. Continue providing CPR. If the victim wakes or moves press NEXT.
Is the victim moving or conscious?
Continue CPR until the victim begins to move, an AED arrives, or advanced care takes over. If the victim begins to move press NEXT.
Is the victim moving or conscious?
If 911 has not been called, stop or pause the unit. Call 911 or your designated emergency number before continuing. NEXT
If the victim has a possible head/neck/spine injury, do not move him unless his airway is compromised by vomiting or copious secretions or if you must leave him temporarily. If you must move the victim for these reasons, extend one of his arms above his head and roll his body to the side so that his head rests on the extended arm. Bend both legs for stability. NEXT
If head/neck/spine injuries are not suspected, place the victim in the recovery position. Position yourself at the person's side. Move the arm farthest away from you up next to the victim's head. Cross the other arm over the chest and bend the leg closest to you. Gently roll the victim away from you while supporting his shoulder and hip. Support his head so that fluids can drain from his mouth. NEXT
Monitor and calm the victim. If at any time the victim loses consciousness or stops breathing, press CPR button. Forward past instructions already heard. NEXT
Monitor for shock, hypothermia, and other life threatening symptoms. Press the appropriate emergency button for instructions as needed. NEXT
If the victim appears stable gather whatever information you can from the victim, family members, or bystanders until advanced care arrives. Press the OTHER button for a list of questions to ask. NEXT
As soon as possible after the victim is treated and stabilized clean up any blood or body fluids left in the area using safety gloves. If a Bloodborne Pathogens Cleanup Kit is available, follow the instructions for use. When finished, wash hands. NEXT
Press arrow keys as needed or press the CPR button to restart instructions. END
If 911 has not been called, stop or pause the unit. Call 911 or your designated emergency number before continuing. NEXT
Untrained rescuers should only perform chest compressions known as 'hands-only CPR' until trained rescuers or advanced care arrives, the victim moves, OR an AED arrives on the scene and is turned on. When the AED is ready, follow the AED instructions. NEXT
The victim should be on their back on a solid surface. NEXT
If the victim is lying in a large pool of water with any part of their chest underwater or the entire surface area of their chest is wet, move the victim out of the pool of water so the chest is fully exposed and wipe off excess water. Adhere AED electrodes to the skin and follow AED instructions. NEXT
When the AED arrives, if possible have another person help with applying the AED pads or electrodes, so as to not interrupt your ongoing CPR chest compressions and make sure the AED is turned on. Then, follow the AED instructions. If your AED does not provide CPR prompting assistance, you can use First Voice for CPR prompting and guidance. NEXT
If this is a prolonged cardiac arrest, if you are in a remote area or if EMS arrival is going to be delayed, better outcomes result from CPR with rescue breathing. If possible assign someone to find another rescuer trained in CPR rescue breaths or advanced medical care to assist in providing CPR with ventilations as soon as possible. NEXT
If an AED is available use it now. Otherwise, place 2 fingers on sternum between nipples. Push hard and fast approximately 1.5 inches. Give compressions at 100BPM allowing chest to recoil. Continue compressions until victim wakes or moves or advanced care takes over. NEXT
Is the victim moving or conscious?
Continue CPR until the victim begins to move, an AED arrives, or advanced care takes over. If the victim begins to move press NEXT.
Is the victim moving or conscious?
Untrained rescuers should only perform chest compressions known as 'hands-only CPR' until trained rescuers or advanced care arrives, the victim moves, OR an AED arrives on the scene and is turned on. When the AED is ready, follow the AED instructions. NEXT
The victim should be on their back on a solid surface. NEXT
When the AED arrives, if possible have another person help with applying the AED pads or electrodes, so as to not interrupt your ongoing CPR chest compressions and make sure the AED is turned on. Then, follow the AED instructions. If your AED does not provide CPR prompting assistance, you can use First Voice for CPR prompting and guidance. NEXT
When using the AED you will need to exercise precautions: If a victim's chest is covered in water, if medication patches are on the skin in areas where the AED electrodes need to be attached, if a lump from a pacemaker or implanted defibrillator is visibly seen, or if the victim has excessive body hair. NEXT
Do you need more information on any of these special precautions?
If 911 has not been called, stop or pause the unit. Call 911 or your designated emergency number before continuing. NEXT
If this is a prolonged cardiac arrest, if you are in a remote area or if EMS arrival is going to be delayed, better outcomes result from CPR with rescue breathing. If possible assign someone to find another rescuer trained in CPR rescue breaths or advanced medical care to assist in providing CPR with ventilations as soon as possible. NEXT
If an AED is available use it now. Otherwise, place the heel of one hand on lower half of sternum between nipples. Place other hand on top, push hard and fast at least 2 inches. Give compressions at 100BPM allowing the chest to recoil fully. Continue providing compressions until the victim wakes or moves or advanced care takes over. NEXT
Is the victim moving or conscious?
If the victim has a possible head/neck/spine injury, do not move him unless his airway is compromised by vomiting or copious secretions or if you must leave him temporarily. If you must move the victim for these reasons, extend one of his arms above his head and roll his body to the side so that his head rests on the extended arm. Bend both legs for stability. NEXT
If head/neck/spine injuries are not suspected, place the victim in the recovery position. Position yourself at the person's side. Move the arm farthest away from you up next to the victim's head. Cross the other arm over the chest and bend the leg closest to you. Gently roll the victim away from you while supporting his shoulder and hip. Support his head so that fluids can drain from his mouth. NEXT
Monitor and calm the victim. If at any time the victim loses consciousness or stops breathing, press CPR button. Forward past instructions already heard. NEXT
Monitor for shock, hypothermia, and other life threatening symptoms. Press the appropriate emergency button for instructions as needed. NEXT
If the victim appears stable gather whatever information you can from the victim, family members, or bystanders until advanced care arrives. Press the OTHER button for a list of questions to ask. NEXT
As soon as possible after the victim is treated and stabilized clean up any blood or body fluids left in the area using safety gloves. If a Bloodborne Pathogens Cleanup Kit is available, follow the instructions for use. When finished, wash hands. NEXT
Press arrow keys as needed or press the CPR button to restart instructions. END
Continue CPR until the victim begins to move, an AED arrives, or advanced care takes over. If the victim begins to move press NEXT.
Is the victim moving or conscious?
If 911 has not been called, stop or pause the unit. Call 911 or your designated emergency number before continuing. NEXT
Untrained rescuers should only perform chest compressions known as 'hands-only CPR' until trained rescuers or advanced care arrives, the victim moves, OR an AED arrives on the scene and is turned on. When the AED is ready, follow the AED instructions. NEXT
The victim should be on their back on a solid surface. NEXT
When the AED arrives, if possible have another person help with applying the AED pads or electrodes, so as to not interrupt your ongoing CPR chest compressions and make sure the AED is turned on. Then, follow the AED instructions. If your AED does not provide CPR prompting assistance, you can use First Voice for CPR prompting and guidance. NEXT
If the victim is lying in a large pool of water with any part of their chest underwater or the entire surface area of their chest is wet, move the victim out of the pool of water so the chest is fully exposed and wipe off excess water. Adhere AED electrodes to the skin and follow AED instructions. NEXT
If this is a prolonged cardiac arrest, if you are in a remote area or if EMS arrival is going to be delayed, better outcomes result from CPR with rescue breathing. If possible assign someone to find another rescuer trained in CPR rescue breaths or advanced medical care to assist in providing CPR with ventilations as soon as possible. NEXT
If an AED is available use it now. Otherwise, place heel of your hand on lower half of sternum between nipples. Press hard and fast approximately 2 inches. Give compressions at 100BPM allowing chest to recoil. Continue compressions until victim wakes or moves or advanced care takes over. NEXT
Is the victim moving or conscious?
Continue CPR until the victim begins to move, an AED arrives, or advanced care takes over. If the victim begins to move press NEXT.
Is the victim moving or conscious?
Is the victim age 8 or over?
Is this an infant under 1?
Tap the person's shoulder or shout 'Are you okay?' CPR should only be performed if the victim is unconscious OR not breathing. If this does not describe the victim, press the button that most closely fits the emergency. NEXT
The victim should be on their back on a solid surface. NEXT
Is the victim age 8 or over?
Is this an infant under 1?
Call 911 or your designated emergency number immediately and grab an AED. If possible, have someone else do this. Begin chest compressions. Place heel of your hand on the lower half of the sternum between the nipples. Press hard and fast 2 inches deep. Give compressions at 100 BPM. Use an AED when one arrives. Continue compressions until victim wakes or AED advises otherwise. If there are other rescuers available or you want CPR reminders press NEXT.
Call 911 or your designated emergency number immediately and grab an AED. If possible, have someone else do this. Begin chest compressions. Place heel of your hand on the lower half of the sternum between the nipples. Press hard and fast 2 inches deep, at least 1/3 depth of the chest. Give compressions at 100 BPM. Use an AED when one arrives. Continue compressions until victim wakes or AED advises otherwise. If there are other rescuers available or you want CPR reminders press NEXT.
Call 911 or your designated emergency number immediately and grab an AED. If possible, have someone else do this. Begin chest compressions. Place 2 fingers on sternum between nipples. Press hard and fast 1.5 inches deep, at least 1/3 depth of the chest. Give compressions at 100 BPM. Use an AED when one arrives. Continue compressions until victim wakes or AED advises otherwise. If there are other rescuers available or you want CPR reminders press NEXT.
When the AED arrives, if possible have another person help with applying the AED pads or electrodes, so as to not interrupt your ongoing CPR chest compressions and make sure the AED is turned on. Then, follow the AED instructions. If your AED does not provide CPR prompting assistance, you can use First Voice for CPR prompting and guidance. NEXT
If the victim is lying in a large pool of water with any part of their chest underwater or the entire surface area of their chest is wet, move the victim out of the pool of water so the chest is fully exposed and wipe off excess water. Adhere AED electrodes to the skin and follow AED instructions. NEXT
If the victim has a medication patch remove it with a gloved hand and wipe away excess medicine or moisture. Adhere AED electrodes to the skin and follow AED instructions. NEXT
If the victim has a visible lump from a pacemaker or implanted defibrillator be sure to adhere the AED electrode pad at least 1 inch away from this lump. NEXT
If the victim has excessive body hair it may prevent electrode adhesion to the skin, not allowing proper pad detection by the AED. Use the razor, if available in your supplies, to shave the victim's chest before applying the electrodes. Otherwise, apply the electrode and rip away, quickly removing excess hair from victim's chest. Remove hair from pad and reapply electrode or switch to spare set of electrode pads, if available and necessary. NEXT
When the AED arrives, if possible have another person help with applying the AED pads or electrodes, so as to not interrupt your ongoing CPR chest compressions and make sure the AED is turned on. Then, follow the AED instructions. If your AED does not provide CPR prompting assistance, you can use First Voice for CPR prompting and guidance. NEXT
If the victim is lying in a large pool of water with any part of their chest underwater or the entire surface area of their chest is wet, move the victim out of the pool of water so the chest is fully exposed and wipe off excess water. Adhere AED electrodes to the skin and follow AED instructions. NEXT
If the victim has a medication patch remove it with a gloved hand and wipe away excess medicine or moisture. Adhere AED electrodes to the skin and follow AED instructions. NEXT
If the victim has a visible lump from a pacemaker or implanted defibrillator be sure to adhere the AED electrode pad at least 1 inch away from this lump. NEXT
If the victim has excessive body hair it may prevent electrode adhesion to the skin, not allowing proper pad detection by the AED. Use the razor, if available in your supplies, to shave the victim's chest before applying the electrodes. Otherwise, apply the electrode and rip away, quickly removing excess hair from victim's chest. Remove hair from pad and reapply electrode or switch to spare set of electrode pads, if available and necessary. NEXT
First, check to be certain the scene is safe and visually assess the area for any clues about the emergency. NEXT
Is it safe for you to approach the victim?
You have indicated the scene is not safe. Do not put yourself in jeopardy. Wait for advanced care or other assistance and do not approach victim! NEXT
If 911 has not been called, have someone call this or your designated emergency number. NEXT
Press the arrow keys to repeat any instructions. END
Is victim conscious and breathing?
Is this a major bleeding situation (with a lot of blood lost in a short time)?
If there are any other life threatening injuries press the appropriate emergency button now. NEXT
Grab available first aid supplies and AED if available, and put on protective items such as safety gloves. Identify yourself and ask the victim for permission to provide care. If permission is refused, do not proceed. Call 911 or your designated emergency contact number. NEXT
Keep the victim as still as possible. Check the scene. Do not move the victim unless absolutely necessary for safety reasons. If you must move someone with possible head/neck/spine injury, two rescuers can more safely do this. Support the head and neck in the position found, while carefully rolling the victim onto his back and gently pulling him by his clothing or upper chest. NEXT
Try to determine the part of the body affected and the source of the injury by calmly reassuring the victim and visually assessing the area for clues. Internal injuries may exist with no visible symptoms. NEXT
If bone fragments or tissue are protruding from an open wound, do not try to push them back into place. Cover the open wound with gauze and moisten with saline solution. Secure gently with tape if needed. NEXT
Minimize movement to the injured area. Do not try to push the injured area back into place. NEXT
Make sure any bleeding has been minimized. Press the Bleeding/Shock button if bleeding continues. NEXT
Suspect spinal injury for a victim that is approximately 65 years of age or older and is a Driver, passenger or pedestrian in a bicycle, motorcycle or motor vehicle accident, has fallen from a distance, has tingling in extremities, pain or tenderness in the neck or back, muscle weakness or sensory deficit, appears intoxicated or not fully alert or has other painful injuries, especially to the head or neck. Or if this is a child 2 years or older with evidence of head or neck trauma. NEXT
Do you suspect neck or spinal injuries?
Stabilize the head so that the motion of the head neck and spine are minimized. NEXT
If 911 has not been called, have someone call this or your designated emergency contact number. Grab available first aid supplies and put on protective items such as safety gloves. Identify yourself and ask the victim for permission to provide care. If permission is refused, do not proceed. NEXT
If victim is wearing a helmet, do not remove it unless it is necessary to assess the airway and you are trained to do so. NEXT
Are you trained in CPR rescue breathing or providing ventilations?
Open the airway by gently tilting the head back and lifting the chin, while minimizing movement of the head and neck. If vomiting occurs, roll the victim carefully onto his side, while immobilizing the head and neck, and use gauze pads to clean his mouth. NEXT
Help the victim avoid becoming chilled or overheated. NEXT
Stabilize the head so that the motion of the head neck and spine are minimized. NEXT
Do not further move the victim unless his airway is compromised by vomiting or copious secretions or you must leave him temporarily. If you must move the victim for these reasons, extend one of his arms above his head and roll his body to the side so that his head rests on the extended arm. Bend both legs for stability. NEXT
Monitor and calm the victim. If at any time the victim loses consciousness or stops breathing, press CPR button. Forward past instructions already heard. NEXT
Help the victim avoid becoming chilled or overheated. NEXT
Stabilize the head so that the motion of the head neck and spine are minimized. NEXT
Do not further move the victim unless his airway is compromised by vomiting or copious secretions or you must leave him temporarily. If you must move the victim for these reasons, extend one of his arms above his head and roll his body to the side so that his head rests on the extended arm. Bend both legs for stability. NEXT
Monitor and calm the victim. If at any time the victim loses consciousness or stops breathing, press CPR button. Forward past instructions already heard. NEXT
A severe injury includes the pelvis, hip, upper leg, or ribs, multiple broken bones, compound fractures, or broken bones other than the arm, hand, ankle, foot, fingers, or toes. Call 911 or your designated emergency number immediately if this is a severe injury. NEXT
Does the injury involve the pelvis, hip, upper leg, or ribs?
If a pillow is available, a soft splint can be used to provide comfort and support of the injury until help arrives. If it is possible to do so without causing the victim pain, place the pillow under the knees, between legs, or across chest and secure with elastic bandage. NEXT
Make the victim as comfortable as possible. Cover with blanket or other warm covering. Monitor for shock, unconsciousness, breathing difficulties, and bleeding until advanced care arrives. Press the appropriate emergency buttons as needed. NEXT
Shock often accompanies other medical emergencies. Signs of shock include: cold sweats & chills; pale, clammy skin; pale\bluish lips and fingernails; nausea, fast or irregular breathing; rapid pulse, anxiety & restlessness; extreme thirst; weakness, confusion, & unresponsiveness. NEXT
Does the victim show signs of shock?
Monitor and calm the victim. If at any time the victim loses consciousness or stops breathing, press CPR button. Forward past instructions already heard. NEXT
If the victim appears stable gather whatever information you can from the victim, family members, or bystanders until advanced care arrives. Press the OTHER button for a list of questions to ask. NEXT
Press the arrow keys to repeat any instructions. END
A severe injury also includes multiple broken bones, compound fractures, or broken bones other than the arm, hand, ankle, foot, fingers, or toes. Call 911 or your designated emergency number immediately if this is a severe injury. NEXT
Is this a severe injury as described?
If the injured extremity is blue or extremely pale call 911 or seek advanced medical care immediately. NEXT
Will the victim be moved to receive additional medical care (Wilderness First Aid)?
Elevate the injured area above heart if possible without causing pain. Apply cold packs (for up to 20 minutes) to area and cover victim with blanket or warm covering. Monitor for consciousness, breathing difficulties, bleeding, and shock until advanced care is available. NEXT
If a pillow is available, a soft splint can be used to provide comfort and support of the injury until help arrives. If it is possible to do so without causing the victim pain, place the pillow under the knees, between legs, or across chest and secure with elastic bandage. NEXT
Check your supplies for a first aid manual or guide that provides illustrations for more information and guidance. NEXT
If the injured extremity is blue or extremely pale call 911 or seek advanced medical care immediately. NEXT
Shock often accompanies other medical emergencies. Signs of shock include: cold sweats & chills; pale, clammy skin; pale\bluish lips and fingernails; nausea, fast or irregular breathing; rapid pulse, anxiety & restlessness; extreme thirst; weakness, confusion, & unresponsiveness. NEXT
Does the victim show signs of shock?
Monitor and calm the victim. If at any time the victim loses consciousness or stops breathing, press CPR button. Forward past instructions already heard. NEXT
Follow up by having the victim seek appropriate medical care. NEXT
If the victim appears stable gather whatever information you can from the victim, family members, or bystanders until advanced care arrives. Press the OTHER button for a list of questions to ask. NEXT
Press the arrow keys to repeat any instructions. END
You will need to immobilize the injured area with a splint but only if you can do so without hurting the victim. NEXT
Have the victim lie or sit down in the position most comfortable for him. NEXT
Does the injury involve the lower leg, arm, hand, ankle, or foot?
Make sure any bleeding has been minimized. Press the Bleeding/Shock button if bleeding continues. NEXT
Remove all jewelry or clothing that could constrict the injured area and give it to the victim for safekeeping. NEXT
If a splint is used, it should be padded to cushion the injury. NEXT
Use a splint to immobilize the injured limb. For an arm injury, a splint or a sling can be used. Try to splint the injury in the position in which you find it and with as little manipulation as possible. NEXT
Check your supplies for a first aid manual or guide that provides illustrations for more information and guidance. NEXT
For foot injuries, a soft splint, such as a pillow secured with an elastic bandage can be used to provide comfort and support of the injury. For other injuries locate and unroll a conforming splint. Using both hands, support injured area above and below injury without changing position of limb. Slip splint under injured area with joints above and below it. Mold splint to fit limb. Secure splint with stretch gauze, be sure NOT to restrict circulation. NEXT
For sling, unfold triangle bandage. Using both hands, support injured area above & below injury w/out changing position of limb. Slip bandage under injured arm & over shoulder. Wrap other end of bandage around other shoulder & tie both ends behind neck. Bind arm to chest with a folded triangle bandage\stretch gauze for extra support. NEXT
Continually check for color, warmth, and feeling in the injured limb. If victim loses feeling or color in the limb or it becomes cold, make sure splint is not restricting circulation. NEXT
A victim with an injured lower extremity should not bear weight until advised to do so by a medical professional. NEXT
Elevate the injured area above heart if possible without causing pain. Apply cold packs (for up to 20 minutes) to area and cover victim with blanket or warm covering. Monitor for consciousness, breathing difficulties, bleeding, and shock until advanced care is available. NEXT
If the injured extremity is blue or extremely pale call 911 or seek advanced medical care immediately. NEXT
Shock often accompanies other medical emergencies. Signs of shock include: cold sweats & chills; pale, clammy skin; pale\bluish lips and fingernails; nausea, fast or irregular breathing; rapid pulse, anxiety & restlessness; extreme thirst; weakness, confusion, & unresponsiveness. NEXT
Does the victim show signs of shock?
Monitor and calm the victim. If at any time the victim loses consciousness or stops breathing, press CPR button. Forward past instructions already heard. NEXT
Follow up by having the victim seek appropriate medical care. NEXT
If the victim appears stable gather whatever information you can from the victim, family members, or bystanders until advanced care arrives. Press the OTHER button for a list of questions to ask. NEXT
Press the arrow keys to repeat any instructions. END
Does the injury involve the fingers or toes?
Make sure any bleeding has been minimized. Press the Bleeding/Shock button if bleeding continues. NEXT
Immobilize injured digit by using adjoining finger or toe as splint. Weave gauze pads between digits for cushion and wrap securely together w/stretch gauze. Secure with tape. NEXT
Elevate the injured area above heart if possible without causing pain. Apply cold packs to area (for up to 20 minutes) and cover victim with blanket or warm covering. Monitor for consciousness, breathing difficulties, bleeding, and shock until advanced care is available. NEXT
If the injured extremity is blue or extremely pale seek advanced medical care immediately. NEXT
Make sure any bleeding has been minimized. Press the Bleeding/Shock button if bleeding continues. NEXT
If there are any other life threatening injuries press the appropriate emergency button now. NEXT
Follow up by having the victim seek appropriate medical care. NEXT
Press the arrow keys to repeat any instructions. END
Is this a bruise or contusion?
If there are any other life threatening injuries press the appropriate emergency button now. NEXT
Make sure any bleeding has been minimized. Press the Bleeding/Shock button if bleeding continues. NEXT
Apply direct pressure and elevate the injured area if this can be done without causing further pain. NEXT
Superficial wounds should be cleaned until there is no foreign matter in the wound. NEXT
Cover the area with a gauze pad and apply a cold pack for up to 20 minutes at a time. NEXT
Advise the victim to seek appropriate medical care. NEXT
Shock often accompanies other medical emergencies. Signs of shock include: cold sweats & chills; pale, clammy skin; pale\bluish lips and fingernails; nausea, fast or irregular breathing; rapid pulse, anxiety & restlessness; extreme thirst; weakness, confusion, & unresponsiveness. NEXT
Does the victim show signs of shock?
Make sure any bleeding has been minimized. Press the Bleeding/Shock button if bleeding continues. NEXT
If there are any other life threatening injuries press the appropriate emergency button now. NEXT
Follow up by having the victim seek appropriate medical care. NEXT
Press the arrow keys to repeat any instructions. END
First, check to be certain the scene is safe and visually assess the area for any clues about the emergency. NEXT
Is it safe for you to approach the victim?
You have indicated the scene is not safe. Do not put yourself in jeopardy. Wait for advanced care or other assistance and do not approach victim! NEXT
If 911 has not been called, have someone call this or your designated emergency number. NEXT
Press the arrow keys to repeat any instructions or press Head/Neck/Spine button to restart instructions. END
Is victim conscious and breathing?
Grab available first aid supplies and an AED, if available, and put on protective items such as safety gloves. Identify yourself and ask the victim for permission to provide care. If permission is refused, do not proceed. Call 911 or your designated emergency contact number. NEXT
Try to determine the part of the body affected and the source of the injury by calmly reassuring the victim and visually assessing the area for clues. Internal injuries may exist with no visible symptoms. NEXT
Is the victim bleeding?
Check the body for the source and exact location of the bleeding. If the wound is in the head, chest, or torso, assume neck or spine injuries. NEXT
If there is severe bleeding of the eye, be aware that there may be injuries to the head, neck, or spine or broken facial bones. Use gentle pressure to any cuts around the eye using gauze pads to stop bleeding. Do not apply pressure to the eye itself. NEXT
Apply direct pressure to the wound with your gloved hand. While pressing, locate ABD pads in your first aid supplies. Cover wound with pads and continue pressing. NEXT
If it is not possible to provide continuous manual pressure, wrap an elastic or compression bandage firmly over the gauze pads and hold it in place with pressure. NEXT
Lightning or electrical shock often causes multiple trauma including spinal injury, fractures, internal injuries, and muscular strain. NEXT
Suspect spinal injury for a victim that is approximately 65 years of age or older, is a Driver, passenger or pedestrian in a bicycle, motorcycle or motor vehicle accident, has fallen from a distance, has tingling in extremities, pain or tenderness in the neck or back, muscle weakness or sensory deficit, appears intoxicated or not fully alert or has other painful injuries, especially to the head or neck. Or if this is a child 2 years or older with evidence of head or neck trauma. NEXT
Do you suspect neck or spinal injuries?
Stabilize the head so that the motion of the head neck and spine are minimized. NEXT
If 911 has not been called, have someone call this or your designated emergency contact number. Grab available first aid supplies and put on protective items such as safety gloves. Identify yourself and ask the victim for permission to provide care. If permission is refused, do not proceed. NEXT
Check your supplies for a first aid manual or guide that provides illustrations for more information and guidance. NEXT
Keep the victim as still as possible. Check the scene. Do not move the victim unless absolutely necessary for safety reasons. If you must move someone with possible head/neck/spine injury, two rescuers can more safely do this. Support the head and neck in the position found, while carefully rolling the victim onto his back and gently pulling him by his clothing or upper chest. NEXT
If victim is wearing a helmet, do not remove it unless it is necessary to assess the airway and you are trained to do so. NEXT
Are you trained in CPR rescue breathing or providing ventilations?
If necessary, open the airway by gently tilting the head back and lifting the chin, while minimizing movement of the head and neck. If vomiting occurs, roll the victim carefully onto his side, while immobilizing the head and neck, and use gauze pads to clean his mouth. NEXT
Do not further move the victim unless his airway is compromised by vomiting or copious secretions or you must leave him temporarily. If you must move the victim for these reasons, extend one of his arms above his head and roll his body to the side so that his head rests on the extended arm. Bend both legs for stability. NEXT
Help the victim avoid becoming chilled or overheated. NEXT
Stabilize the head so that the motion of the head neck and spine are minimized. NEXT
If there are any other life threatening injuries press the appropriate emergency button now. NEXT
Monitor and calm the victim. If at any time the victim loses consciousness or stops breathing, press CPR button. Forward past instructions already heard. NEXT
Shock often accompanies other medical emergencies. Signs of shock include: cold sweats & chills; pale, clammy skin; pale\bluish lips and fingernails; nausea, fast or irregular breathing; rapid pulse, anxiety & restlessness; extreme thirst; weakness, confusion, & unresponsiveness. NEXT
Does the victim show signs of shock?
Press the arrow keys to repeat any instructions or press Head/Neck/Spine button to restart instructions. NEXT
Do not further move the victim unless his airway is compromised by vomiting or copious secretions or you must leave him temporarily. If you must move the victim for these reasons, extend one of his arms above his head and roll his body to the side so that his head rests on the extended arm. Bend both legs for stability. NEXT
Help the victim avoid becoming chilled or overheated. NEXT
Stabilize the head so that the motion of the head neck and spine are minimized. NEXT
If there are any other life threatening injuries press the appropriate emergency button now. NEXT
Do not further move the victim unless his airway is compromised by vomiting or copious secretions or you must leave him temporarily. If you must move the victim for these reasons, extend one of his arms above his head and roll his body to the side so that his head rests on the extended arm. Bend both legs for stability. NEXT
Monitor and calm the victim. If at any time the victim loses consciousness or stops breathing, press CPR button. Forward past instructions already heard. NEXT
Shock often accompanies other medical emergencies. Signs of shock include: cold sweats & chills; pale, clammy skin; pale\bluish lips and fingernails; nausea, fast or irregular breathing; rapid pulse, anxiety & restlessness; extreme thirst; weakness, confusion, & unresponsiveness. NEXT
Does the victim show signs of shock?
Do not further move the victim unless his airway is compromised by vomiting or copious secretions or you must leave him temporarily. If you must move the victim for these reasons, extend one of his arms above his head and roll his body to the side so that his head rests on the extended arm. Bend both legs for stability. NEXT
Have the victim lie or sit down in the position most comfortable for him. NEXT
If there are any other life threatening injuries press the appropriate emergency button now. NEXT
If the victim appears stable gather whatever information you can from the victim, family members, or bystanders until advanced care arrives. Press the OTHER button for a list of questions to ask. NEXT
Shock often accompanies other medical emergencies. Signs of shock include: cold sweats & chills; pale, clammy skin; pale\bluish lips and fingernails; nausea, fast or irregular breathing; rapid pulse, anxiety & restlessness; extreme thirst; weakness, confusion, & unresponsiveness. NEXT
Does the victim show signs of shock?
Monitor and calm the victim. If at any time the victim loses consciousness or stops breathing, press CPR button. Forward past instructions already heard. NEXT
Advise the victim to seek appropriate medical care. NEXT
Press the arrow keys to repeat any instructions or press Head/Neck/Spine button to restart instructions.END
If the victim appears stable gather whatever information you can from the victim, family members, or bystanders until advanced care arrives. Press the OTHER button for a list of questions to ask. NEXT
Press the arrow keys to repeat any instructions or press Head/Neck/Spine button to restart instructions. END