(4)
Evaluate the situation and perform needed actions.
(a) If the casualty resumes breathing on his own, check for injuries.
Continue to monitor the casualty's breathing and be prepared to resume administering
mouth-to-mouth resuscitation if needed.
(b) If the casualty has a pulse but is not breathing on his own, continue
mouth-to-mouth resuscitation (paragraph e below).
(c) If the casualty has no pulse, administer cardiopulmonary
resuscitation (CPR) (see Section III) if the combat situation allows and send a soldier to
find medical help.
NOTE:
In a tactical situation, if a casualty is found with no pulse and no respiration,
CPR is not recommended.
e. Continue Mouth-to-Mouth Resuscitation. If the casualty has an
unobstructed airway, a pulse, and is not breathing on his own, continue to administer
mouth-to-mouth resuscitation.
(1)
Open the casualty's airway.
(2)
Take a deep breath.
(3)
Close the casualty's nostrils.
(4)
Seal your mouth over the casualty's mouth.
(5) Blow the breath into the casualty's lungs. Observe the rising of the
casualty's chest to ensure that the ventilation is effective.
(6) Break your seal over the casualty's mouth and release his nose. This
will allow the casualty to exhale on his own.
(7)
Repeat ventilations at the rate of one ventilation (breath) every 5
seconds).
(8) After about one minute, stop ventilations and check the carotid pulse
again. Observe for spontaneous breathing (chest rising and falling) as you feel for the
pulse. The procedure should take 3 to 5 seconds.
(a) If the casualty resumes breathing on his own, check for injuries.
(b) If the casualty has a pulse but is not breathing on his own, continue
administering mouth-to-mouth resuscitation. Continue to check his pulse and check for
resumed spontaneous breathing every minute or so.
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