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Extra info for ACEP First Aid Manual, 2nd edition
If still unable to ventilate the casualty, perform 6 to 10 manual (abdominal or chest) thrusts. (1) To perform the abdominal thrusts: (a) Kneel astride the casualty’s thighs (Figure 2-14). Figure 2-14. Abdominal thrust on unresponsive casualty. (b) Place the heel of one hand against the casualty’s abdomen (in the midline slightly above the navel but well below the tip of the breastbone). Place your other hand on top of the first one. Point your fingers toward the casualty’s head. (c) Press into the casualty’s abdomen with a quick, forward and upward thrust.
A. Position the Casualty. (DO NOT move the casualty or his limbs if suspected fractures have not been splinted. ) (1) situation permits. (2) Move the casualty to cover, if cover is available and the Lay the casualty on his back. NOTE A casualty in shock from a chest wound or one who is experiencing breathing difficulty, may breathe easier in a sitting position. If this is the case, allow him to sit upright, but monitor carefully in case his condition worsens. (3) Elevate the casualty’s feet higher than the level of his heart.
Casualty positioned (lying) on injured side. 1/AFMAN 44-163(I) g. Seek Medical Assistance. Contact medical personnel. WARNING If an occlusive dressing has been improperly placed, air may enter the chest cavity with no means of escape. This causes a life-threatening condition called tension pneumothorax. If the casualty’s condition (for example, difficulty breathing, shortness of breath, restlessness, or blueness/grayness of the skin) worsens after placing the dressing, quickly lift or remove, and then replace the occlusive dressing.