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Remain calm (you'll do great!). Have the victim stop activity and rest comfortably (place them in a position of comfort). Quickly confirm information about the victim's current condition (awake? breathing? symptoms?). Call 9-1-1 immediately. Answer all of the 9-1-1 Dispatcher's questions as accurately as possible. Closely follow any instructions given by the 9-1-1 Dispatcher. Do not hang up until the 9-1-1 Dispatcher says to. Stay with and reassure the victim. Assist with medication, if prescribed for the victim. Monitor the victim's condition closely. Be prepared to give CPR, if necessary. Persistent chest pain or discomfort: Victim may have persistent pressure, squeezing, or crushing type pain in the chest that is not relieved by resting, changing positions, or medication. Pain may spread to jaw, neck, or arms Difficulty breathing: Victim may feel short of breath or is breathing faster than normal. Abnormal skin appearance: Victim's skin may be pale, ashen (gray), or bluish in color. Victim's skin may also feel cool and moist. Dizziness, light-headedness, or fainting Nausea and/or vomiting Note: Not all of these signals occur in every heart attack. If you are with someone having "signals", expect denial.

• 1. ASSESS: Shout and tap or gently shake. If victim is unresponsive, call 9-1-1.
• 2. POSITION victim on their back, remove pillows from behind the head, open the airway using head-tilt/chin-lift method.
• 3. CHECK FOR BREATHING: Look, Listen, and Feel for five seconds. If victim is not breathing, give two slow breaths.
• 4. CHECK CAROTID PULSE (or brachial pulse on infant) for five to ten seconds. If victim has no pulse, begin chest compressions. Chest compressions are more effective if the victim is on a solid surface like the floor, not on a bed or sofa.
• 5. RECHECK PULSE AND BREATHING after one minute. If there is still no pulse, continue cycles uninterrupted until medical help arrives.

If the victim cannot cough, speak, or breathe at all, have someone call 9-1-1. Stand behind and wrap your arms around the victim. Place the thumb side of your fist on the middle of their abdomen, just above their navel. Grasp that fist with your other hand and give quick forceful upward thrusts into their abdomen until the object is coughed up or the victim becomes unconscious.

UNCONSCIOUS (Not Awake) ADULT:Have someone call 9-1-1. Position the victim on their back. Remove all pillows from behind the head. Open their airway using the head-tilt/chin-lift method. Attempt to give breaths. If unsuccessful, reattempt the head-tilt/chin-lift procedure and blow more forcefully. You may be able to blow past the object. If air won't go in, place the heel of one hand against the middle of their abdomen, just above the navel. Give up to five abdominal thrusts. Then, lift their jaw and tongue and sweep out their mouth. Tilt head back, lift chin, and give breaths again. Repeat breaths, thrusts, and sweeps until breaths go in. Once breaths go in, check victims breathing and pulse. If there is no breathing and no pulse, start CPR.

Additional training in bloodborne pathogens, oxygen administration and injury prevention can be added to CPR and first aid training to prepare you to prevent and respond to life-threatening emergencies

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