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When someone is requiring CPR the first consideration should be for your own safety. Think about possible reasons why they might be unconscious - has someone attacked them? If so where is the attacker and are you at risk? If they have been hit by a car and are in the road think about the dangers of other traffic. If they have been electrocuted make sure the electricity supply has been turned off etc etc. the list is endless! The next step is to check for a response - shout loudly in both ears and shake a shoulder VERY gently. If there is no response open their mouth to check their airway - if nothing is visible tilt their head upwards slightly to clear the airway - into a 'sniffing' position. (called the head tilt, chin lift manoeuver) Then feel for a pulse in the neck (carotid pulse) and at the same time put your ear next to their mouth and turn head to look at their chest. This way you can feel and listen for any breath with your ear and observe for any rise and fall of the chest at the same time as feeling for a pulse. You should check for these signs for 10 secs. If they are not breathing and don't have a pulse - then start CPR

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