By American College of Emergency Physicians, Margaret Austin, Rudy Crawford, Vivien J. Armstrong, Gina M. Piazza
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Additional resources for ACEP First Aid Manual
If you do have to move her, the method will depend on the casualty’s condition and available help. ■ Be aware that road surfaces may be slippery because of fuel, oil, or even ice. ■ Be aware that undeployed air bags and unactivated seat-belt tensioners may be a hazard. ■ Find out as much as you can about the accident and relay this information to the emergency services when they arrive. Casualty in a vehicle Assume that any injured casualty in a vehicle has a neck injury. Support the head while you await help.
If there is more than one casualty, attend to those 28 with life-threatening conditions ﬁrst. If possible, treat casualties in the position in which you ﬁnd them; move them only if they are in immediate danger or if it is necessary in order to provide life-saving treatment. Enlist help from others if ACTION AT AN EMERGENCY possible. 23). 30), or retrieve equipment while you begin ﬁrst aid. Begin treatment Start life-saving ﬁrst aid as soon as possible. Ask others to call for help and retrieve equipment such as an AED (automated external deﬁbrillator).
Otherwise, gently pass your hand under the hollow of the back and check for swelling and tenderness. 9 deeply, and note whether the chest expands 12 evenly, easily, and equally on both sides. Feel the rib cage to check for deformity, irregularity, or tenderness. Ask the casualty if she is aware of grating sensations when breathing, and listen for unusual sounds. Note whether breathing causes any pain. Look for any external injuries, such as bleeding or stab wounds. 13 any evidence of bleeding, and to identify any Gently feel the casualty’s abdomen to detect rigidity or tenderness of the abdomen’s muscular wall, which could be a sign of internal bleeding.