American
Red Cross

Adult First 

READY REFERENCE

 

 

 

CHECKING AN INJURED OR ILL
ADULT
APPEARS To BE UNCONSCIOUS

 

 

 

 

TIP: Use disposable gloves and other personalpretectfve
equipme'nt'anjd obtain consent: whenever giving care.

AFTER CHECKING THE SCENE FOR SAFETY, CHECK THE PERSON:

 

 

 


Tap the shoulder and shout, ?Are you 

 

 

 

.. .3.

If no response, CALL 9-1-1 or the local emergency number.

I If an unconscious person is face?down, roll face-up,
supporting the head, neck and back in a straight line.

If the person responds, obtain consent and CALL 9-1-1 or the local emergency
number for any life-th reatening conditions.

CHECK the person from head to toe and ask questions to find out what happened.

OPEN THE AIRWAY
Tilt head, lift chin.

 

u?t- - - - 

PANEL 2

CHECK FOR BREATHING

CHECK quickly for breathing for no more than
10 seconds.

I Occasional gasps are not breathing.

 

 

5 Omega: SCAN FOR SEVERE ELEEBIWING [a



 

. 

.WHAT To I10 

I Give CARE based on conditions found.

I IF NO to PANEL 6 or PANEL 7
(if an AED is immediately available).

I IF an open airway and monitor
for any changes in condition.

PANEL 3

 

CONSCIOUS CHOKING
CANNOT COUGH, SPEAK OR BREATHE

 

 

 

AFTER CHECKING THE SCENE AND THE INJURED OR ILL PERSON,
HAVE SOMEONE CALL 9-1-1 AND GET CONSENT.

 BLOWS

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Give 5 back blows.

I Bend the person forward at the waist and
give 5 back blows between the shoulder
blades with the heel of one hand.

 

GIVE 5 ABDOMINAL THRUSTS

I Place a fist with the thumb side against
the middle of the person's abdomen, iust
above the navel.

 

I Cover your fist with your other hand.
I Give 5 quick, upward abdominal thrusts.

 

 

 

CONTINUE CARE

Continue sets of 5 back blows and
5 abdominal thrusts until the:

I Obieot is forced out.
I Person can cough forcefully or breathe.
I Person becomes unconscious.

 

 

 

 

.WHATTO DO NEXT

 

 

I IF THE PERSON BECOMES unconsoloUS?CALL 9-1-1, if not already done, and
give care for an unconscious choking adult, beginning with looking for an object
(PANEL 5, Step 3).

PANEL 4

 

UNCONSCIOUS CHOKING
CHEST DOES NOT RISE WITH RESCUE BREATHS

 

 

 

AFTER CHECKING SCENE AND THE INJURED OR PERSON:

GIVE RESCUE BREATHS

Retilt the head and give another
rescue breath.

 

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GIVE 30 CHEST
COMPRESSIONSM

.. Eu.- .1. ..

If the chest still does not rise,
give 30 chest compressions.

 

Person must be on ?rm, ?at snrfacef 
Remove CPR breathing barrier When giving
[chest-- compressions. 

 

 

 

 

LOOK FOR AND REMOVE
OBJECT IF SEEN



 

GIVE 2 RESCUE BREATHSW

 

.WHAT 09 NEXT  

IF BREATHS DO NOT MAKE THE CHEST RISE?Repeat steps 2 through 4.

IF THE CH EST CLEARLY for breathing. Give CARE based
on conditions found.

 

PANEL 5

 

 

CPR
NO BREATHING

 

 

AFTER CHECKING THE SCENE AND THE INJURED OR ILL PERSON:

GIVE 30 CHEST
COMPRESSIONS

 

Push hard, push fast in the middle of the
chest at least 2 inches deep and at least
100 compressions per minute

 

VTIP: Person must-be on ?rm, ?at-surface. 

 

 

 

 

a GIVE 2 RESCUEBREATHS

 

Note: If chest does not rise with rescue breaths,
retr'it the head and give another rescue breath.

DO NOT 

Tilt the head back and lift the chin up.

Pinch the nose shut then make a complete
seal over the person?s mouth.

Blow in for about 1 second to make the
chest clearly rise.

Give rescue breaths, one after the other.

 

 

Continue cycles of CPR. Do not stop CPR except in one of these situations:

.WHAT TO DO NEXT

You find an obvious sign of life, such as breathing.

An AED is ready to use.

Another trained responder or EMS personnel take over.
You are too exhausted to continue.

The scene becomes unsafe.

 



IF AN AED BECOMES to AED, 

IF BREATHS DO NOT MAKE THE CH EST AFTER RETILTING to
Unconscious choking, PANEL 5.

 

 

I TIP: if'at anytime youl'aotioe..an obvious Sign of life, Stop-
CPR and-monitor-breathing and for an changes in condition.

 

 

PANEL 6

 

AED-ADULT OR CHILD OLDER THAN 8
YEARS OR WEIOHINO MORE THAN 55 POUNDS
N0 BREATHING

 

 

 

AFTER CHECKING THE SCENE AND THE INJURED OR ILL PERSON:

 

 Del-net usepedi'atric AED pads or e?uipment on an ade
or child elder fhanB years or weighing more than 55 pounds.

 

 

 

TURN ON AED

Follow the voice and/or visual prompts.

 

.. -: 

 

 

EWIPE BARE CHEST 

 

 

 

 

 

ATIP: Remove any medl'eetr'oh patches with a gloved hand.

 

ATTACH PADS

 

 

 

PANEL 7

EIPLUG IN CONNECTOR,
IF NECESSARY

r?mmuw .mev-m-WE-ww ..  .

 

STAND CLEAR

Make sure no one, including you, is touching
the person.

I Say, STAND 

 

 

 

55AM 

. ?4

Push the ?analyze? button, if necessary. Let AED analyze the heart 

DELIVER SHOCK

If SHOCK IS ADVISED:

I Make sure no one, including you. is
touching the person.

I Say, STAND 
I Push the ?shock? button, if necessary.

 

 

 

a PERFORM CPR  
After delivering the shock, or if no shock is advised:
I Perform about 2 minutes (or 5 cycles) of CPR.
I Continue to follow the prompts of the AED.

 

 

.TIPSany timeyou nori'ce'an- obvious sign of life, stop CPR and monitor
any changes in condition. - 
- -  [fir/yo trained responders are present, one should perform CPR wher the
 second responder operates the AED. 

 

 

 

PANEL 8

 

CONTROLLING
EXTERNAL BLEEDING

 

 

 

AFTER CHECKING THE SCENE AND THE INJURED OR ILL PERSON:
COVER THE WOUND

Cover the wound with a sterile dressing.

EAPPLY DIRECT PRESSURE
UNTIL ELEEDING STOPS

 

 

 

 

COVER THE DRESSING
WITH EANDAGE

Check for circulation beyond the injury
(check for feeling, warmth and color).

 

 

EIAPPLY MORE PRESSURE AND CALL 9-1 -1

. . - av raw?u warn-raw n. .-

If the bleeding does not stop:

I Apply more dressings and bandages.
Continue to apply additional pressure.
I Take steps to minimize shock.

 

I CALL 9-1-1 or the local emergency number if not already done.

 

 

 

Wash hands with soap: and water-after giving care.

 

PANEL 9

 

BURNS

 

 

 

AFTER CHECKING THE SCENE AND THE INJURED OR ILL PERSON:

REMOVE OEWBURN

 

 

a COOL THEEURN

Cool the burn with cold running water at least
until pain is relieved.

 

COVER LOOSELY WITH
STERILE DRESSING

 

 

CALL 9-1 -1

CALL 9-1-1 or the local emergency number if the burn is severe or other
life-threatening conditions are found.

 

 

CAREWFOR SHOCK

 

PANEL 1O

 

 

 

POISONING

 

 

 

AFTER CHECKING THE SCENE AND THE INJURED OR ILL PERSON:

CALL 9-1 -1 OR POISON CONTROL HOTLINE

 

 

For life-threatening conditions (such as if the person is unconscious or is not breathing,
or if a change in the level of consciousness occurs). CALL 9'1 -1 or the local emergency
number.


If the person is conscious and alert, CALL the National Poison Control Center (PCC)
hotline at 1 600-222-1222 and follow the advice given.

3 PROVIDE QARE 
Give CARE based on the conditions found.

 

 

HEAD, NECK OR
SPINAL INJURIES

 

 

 

AFTER CHECKING THE SCENE AND THE INJURED OR ILL PERSON:

CALL 9-1 -1 OR THE LOCAL 

 

 

 

MINIMIZE MOVEMENT

Minimize movement of the head,
neck and spine.

 

 

 

 

STABILIZE HEAD 
Manually stabilize the head in the position in which it was found.
I Provide support by placing your hands on both sides of the person's head.
I If head is sharply turned to one sideI DO NOT move it.

 

a? 

PANEL 1 1

 

STROKE
FOR A STROKE, THINK F.A.S.T.

 

 

 

AFTER CHECKING THE SCENE AND THE INJURED OR ILL PERSON:

THINK 

Face? Ask the person to smile.
Does one side of face droop?

Arm? Ask the person to raise both arms.
Does one arm drift downward?

Speech~ Ask the person to repeat a simple
sentence (such as, "The sky is
Is the speech slurred?

Can the person repeat the sentence
correctly?

Time? CALL 9-14 immediately if you
see any signals of a stroke. Try to
determine the time when signals first
appeared. Note the time of onset of
signals and report it to the call taker
or EMS personnel when they arrive.

 

 

 

 

 

PROVIDE CARE  
Give CARE based on the conditions found.

 

Copyright 2011 by The American National Red Cross
PANEL
1 2 Stock No. 656732