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How to Check Airway, Breathing and Circulation

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Summary: Exam the airway access, breathing and circulation of a victim by inspecting the chest for breath sounds and using two fingers on the neck to check for a pulse. Find out more on how to examine someone having difficulty breathing in this free first-aid video from a professional fireman.

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By Joe Bruni {\fonttbl\f0\fswiss\fcharset0 Helvetica;
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Captain Joe Bruni has more than 30 years of experience as a street firefighter and company officer. He also completed a great deal of research with other instructors who have...read more

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Video Transcript

"At some time when we least expect it, we may encounter a victim of an accident or illness that becomes unconscious. Hi I'm Captain Joe Bruni. What we are going to talk about is how to access the airway, breathing and circulation in the unconscious or conscious victim. We approach the victim and make sure that the scene is safe. First and foremost, and kneel next to the patient if they are lying in this position. The very next thing we will do is long as we don't suspect a neck or cervical spine injury is to tilt the head back and using the chin lift technique to open the airway. We will then go down and look, listen and feel, looking for chest rise, feeling against our cheek for the exchange of air or breathing and listening for the exchange of air. If there is no exchange of air, rescue breathes may be in order. After the airways assessed, to assess circulation we place two fingers along side the neck feeling for the carotid artery to determine if a person has circulation or pulse. If we are determining circulation on an infant we would check the area between the elbow and the arm pit known as the brachial artery, again using two fingers. Do not use the thumb to assess circulation as the thumb has it's own pulse center. Two fingers is the way to check circulation. So again, abc's of airway, breathing and circulation are head tilt, chin lift, look, listen and feel and then feel for the carotid pulse to determine if there's circulation. I'm Captain Joe Bruni stay safe and we will see you next time."

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