Learn these procedures by heart. Keep diagrams and instructions in an obvious place. Make a photocopy and paste to the inner side of your medicine cabinet and place one in your first aid kit. Prompt action could save a life.
- Place patient on a firm base, not a bed.
- Tilt head backwards and maintain this position. Pull jaw forward by pulling at the angle of the law.
- Clear mouth and oral cavity of foreign matter. This is done first while the patient is on the side, and then when the patient is laid flat.
- If possible, separate lips and teeth to open oral airway.
- Keeping nose sealed, blow air into patient’s mouth by making a tight seal with your own over the patient’s or blow into the nose, sealing the mouth. Inflate and watch chest rise, then allow patient to exhale. Continue 5 times a minute.
- After two minutes check for a pulse.
- If no pulse is present, external cardiac compression is alternated with expired air resuscitation at the rate of 60 compressions and 8 ventilations per minute. The carotoid pulse and breathing should be checked every two minutes.
- Repeat and continue this until further assistance is possible or patient transferred to hospital. It must be kept up en route.
- Get the patient to hospital as a matter of emergency. Note: Special plastic devices are available to keep the patient’s oral fluids away from the assistant. This may be important in the current era of increasing numbers infected with HIV, hepatitis B and other infectious viruses.