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In most first aid classes, instructors remind students to first make sure there is an emergency. For example, there have been incidents of well-meaning folks trying to start CPR on a person who is only sleeping or in a deep sleep. Assessment is next, meaning that you'd note what is wrong; why is the situation an emergency. This would be a quick assessment, such as calling the patient, gently shaking the patient, identifying an injury versus cardiac-respiratory arrest, etc. Besides assessing whether the person has a pulse and is breathing, you'd need to control any bleeding. Next, you'd call out for help or telephone for help. Often, this means only to run to grab a phone and come right back.

Example 1: You hear your neighbor scream following a loud thud. You run over to find him on the ground; he fell from his roof. He's awake and responds, but he has an open leg fracture (broken bone cut through the skin) and you see blood spurting from his leg. You tell him "Don't move; don't try to get up" (in case he has a spinal injury) while you take off your belt to use as a tourniquet on his leg. At the same time, you loudly yell for his wife, "Nellie" to "Call 911"!

Example 2: While visiting a friend, you see their 3-year old face down in the pool. You yell "Call 911" as you jump in, pull her out, and lay her down. You check for breathing and pulse (none) so do drowning rescue first then begin CPR. Throughout, you yell several more times "Call 911" hoping someone will hear you; someone hears and makes the call. You continue CPR until the child responds, or until paramedics or police arrive--someone who can take over.

Example 3: In the mall, an older man who was sitting on a bench slumps to the floor. You hurry to him, "Sir, sir, are you all right?" (No response) You check pulse (none), respirations (none) and yell out (to anyone who might hear), "Call 911" and you *yell*, "No pulse, no respirations, starting CPR". Again, you continue until or if someone more experienced arrives. Then, you let the professionals take over. Give details of the situation, as you saw it.

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Q: What are four things you need to remember when acting in an emergency?
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