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ROYAL AIR FORCE. COMMON CORE AND DEPLOYMENT SKILLS AIDE-MEMOIRE

RESCUE BREATHS

Use HRABC to assess the casualty. The following techniques are used when giving rescue breaths to a casualty not breathing but showing signs of circulation:

◉ Make sure that the airway is still open.

◉ Pinch the casualty's nose closed (or hold mouth closed) and blow into the mouth (or nose, as appropriate) until you can see the chest rise; it will normally take about 2 seconds.

◉ Take your mouth off the casualty's mouth, and watch the chest fall.

◉ If the chest rises visibly as you blow, and falls fully when you lift your mouth away, you have given an effective breath.

◉ Give two effective breaths and check for signs of circulation.

◉ Circulation present, continue with rescue breaths, 1 every 6 seconds, after 10 breaths re-check for circulation.

If you cannot achieve effective breaths:

◉ Recheck that the airway is still open.

◉ Remove any obvious obstructions, but do not do a finger sweep of the mouth.

◉ Make no more than 5 attempts to achieve 2 effective breaths.

◉ If 2 effective breaths are not achieved, then check for signs of circulation.

IF THE CASUALTY HAS CHOKED, AND YOU CANNOT ACHIEVE EFFECTIVE BREATHS, IMMEDIATELY BEGIN CHEST COMPRESSIONS AND RESCUE BREATHS TO TRY AND RELIEVE OBSTRUCTION

CARDIO-PULMONARY RESUSCITATION (CPR)

Use HRABC to assess the casualty. The following techniques are used when giving CPR to a casualty who is NOT BREATHING and has NO SIGNS OF CIRCULATION:

◉ Place heel of 1 hand 2 finger widths above the point where the casualty's bottom ribs meet the breastbone.

◉ Bring other hand down over it and interlock fingers.

◉ Keep your arms straight and depress the chest by about 4-5 cm.

◉ Release the pressure without removing your hands from their chest.

◉ Complete 15 compressions at a rate of approximately 100 per minute.

◉ Give a further 2 rescue breaths, followed by a further 15 compressions.

◉ Continue giving CPR at this rate until the casualty shows signs of recovery, emergency help arrives and takes over or you are too exhausted to continue.

These procedures are for adults only. Different procedures exist for babies (1 year and under) and children (aged 1-7 years)

CPR SUMMARY FOR AN ADULT

◉ If you are alone and you suspect a heart attack go for help once you have determined there is no breathing.

◉ If you are alone and you suspect injury, drowning or choking, carry out resuscitation sequence for 1 minute then go for help.

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