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Rave About Your Rack Please do not post retail SPAM.

Topic Date User
First Aid Kit 30-Aug-2010 At 10:57:24 AM Marssan
Message
If you're at your favourite crag and you see someone go down, no fitting, no clutching the throat choking etc, they just drop. Or you walk around the corner and you see someone laying on the ground not moving and no obvious cause (e.g. big rock next to their head).

The correct sequence of BLS in this scenario is Check for danger --> begin CPR.
Beginning CPR is a pretty good way to check response, if they wake up, good! Problem solved. Checking airways and breathing has been thrown out the window as has checking circulation. The reason being that the average person has no idea what they're actually looking for so they fart around going "check airways! fumble fumble, check breathing! fumble fumble, check for a pulse! fumble fumble" delaying initiation of CPR by minutes. Every second of delay of CPR is very very bad.

If you are unlucky enough to find yourself in this situation:
Don't hesitate, start pounding. Compressions are more important than breaths.
Compression to breath ratio is 30:2 as has been correctly pointed out. (In the USA they're getting rid of the breaths altogether, i don't think this has been formally adopted in Australia)
PUSH HARD AND FAST. You may feel ribs breaking under your hands, don't worry about it, happens all the time. Aim for a rate of 100 beats per minute. The tempo of the Bee Gee's song "Staying Alive" is about right. Ha (push) Ha (push) Ha (push) Ha (push) STAYIN' ALIVE!
Have one person do the breathing and alternate the pumpers. Effective CPR is tiring and it's been shown that quality of CPR decreases if one person is doing it for more than 3 minutes.
Don't stop until the electricity gets there.
Obviously if you're in a remote area they're not going to make it unless their heart spontaneously re-starts which is super rare.

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