Management of the Unconscious & Conscious Casualty

Remember to follow the seven simple steps: D.R.S.A.B.C.D.

As a first aider, immediately upon entering a situation, look for:

Danger To Yourself, Bystanders and The Casualty

If possible, it is best to remove any danger from the casualty rather than move the casualty from the danger. This is because the first aider does not know at this time, the type or extent of injury the casualty may have.

At times it will be necessary to move the casualty. If it is absolutely necessary to move the casualty, always remember to:

  • Avoid unnecessary twisting or bending the casualty’s back or neck.
  • Gain assistance from others in the movement of the casualty if possible.

Once dangers are controlled, assess the collapsed person’s response by using ‘talk and touch’. This may include giving a simple command such as ‘open your eyes’ or ‘squeeze my hand’.

Grasp and squeeze the casualty’s shoulders firmly to try and get a response from the casualty.  With an infant tickle bottom of feet or squeeze earlobe gentle but firmly.

A person who shows a minor response, should be managed as if unconscious, but obviously does not require CPR. If there is no response from the casualty, the casualty is assumed to be unconscious and you must immediately SEND for help / call 000.