Originally Posted by nypatroller
Firstly... I completely agree with you that a trained professsional coming across an unconsious casualty with a head injury should assess if the patient is breathing, and carefully apply a jaw thrust if necessary.
But.... My point was that I was challenged (by skier j) to give an example of a ski patroller on this forum giving dubious medical advice. A patroller on this thread suggested that a person who had not been trained to open an airway without moving the head should not open the airway of an unconsious casualty with a head injury. That advice is out of step with AHA guidelines, so it is imho an example of dubious medical advice.
I'm pretty sure that the AHA guidelines say that a lay person coming across an unconscious casualty with a head injury should apply head tilt chin lift before checking for breathing! As this is a thread about what a recreational skiier could do with a casualty until expert help arrives, surely advice should be in line with AHA layman's guidelines?
I forget where I get information from, be it layman's CPR class I took a long time ago, the First Responder's class I take every year, or my OEC training a few years ago, so give me a little leeway on what I attribute to what.
Actually, checking for normal breathing is the first thing you should do. If there is no breathing, or it is shallow, then perform the head tilt/chin lift, check for breathing, then give 2 breaths. Prior to 2005, they were teaching the jaw thrust method if trauma is involved.
We don't want to scare people away from giving CPR, but it is what it is.....From the American Health website concerning changes to CPR protocol in 2005http://www.americanheart.org/downloa...Winter2005.pdf
The lay rescuer should use the
head tilt–chin lift to open the airway in
all unresponsive victims even if the victim
Lay rescuers were taught
to use a jaw thrust to open the airway of
It is very difficult to open
the airway with a jaw thrust. In addition, all
methods of opening the airway can produce
movement of an injured spine, so the jaw
thrust may not be any safer than the head
tilt–chin lift. The lay rescuer must be
able to open the airway for the
victim who does not respond. To
simplify instruction and ensure
that the lay rescuer can open the
airway, only the head tilt–chin lift
will be taught to lay rescuers.
Breathing in Adults,
Children, and Infants
If the lay rescuer finds
an unresponsive adult victim, the
lay rescuer should open the airway
and take 5 to 10 seconds (but no
more than 10 seconds) to check
for normal breathing. If no normal
breathing is present, the rescuer
should give 2 rescue breaths.