United States
Unconsciousness
Use at your own risk. For education and research only, not medical advice. Check the numbers and rules for the country you are in. They change. Before you rely on these cards, have a medical professional or a fire safety specialist review them. Disclaimer
Do this first
Shake and shout. No response? Tilt the head back and check breathing. If they breathe normally, use the recovery position. If they do not, start CPR.
An unconscious person lying on their back can die from their own tongue or stomach contents, whatever caused the collapse. The job is to keep the airway open until help arrives, and it needs no equipment.
Step by step
- Check for danger, then shout at them and shake their shoulders firmly.
- If there is no response, tilt the head back, lift the chin and check for normal breathing for up to ten seconds.
- If they are breathing normally, call 911, then roll them onto their side into the recovery position.
- Kneel beside them. Place the near arm at a right angle with the palm up, bring the far hand against their near cheek, bend the far knee, and roll them toward you by that knee.
- Tilt the head back again once they are on their side, so the airway stays open and anything in the mouth can drain out.
- Check their breathing every minute. If it stops or becomes gasping, roll them onto their back and start CPR.
- Cover them with a coat or blanket. If they must stay in position for over thirty minutes, roll them onto the other side.
Never do this
- Do not put anything under the head of an unconscious person lying flat, and do not give them anything to drink. Both close the airway.
- Do not assume a drunk person is sleeping it off. Anyone who cannot be woken needs the same care, and vomiting while lying on the back can kill.
- Do not move someone who is unconscious after a fall from height or a crash, unless they vomit or stop breathing. Then the airway comes before the spine.
Call emergency services if
- Anyone who does not wake when shaken and shouted at.
- Anyone who woke up but is confused, vomiting or was out for more than a moment.
- Any unconsciousness involving a head injury, medication, alcohol or diabetes.
Common questions
They fainted and came around in a few seconds. Ambulance or not?
A simple faint with a quick, full recovery in a young, healthy person can usually be watched. Call if it happened during exercise, while sitting or lying down, with chest pain, or in anyone older or with a heart condition.
Why on their side and not on their back?
On the back, the relaxed tongue falls into the throat and vomit runs into the lungs. On the side, gravity works the other way and keeps both clear.
Next cards
Sources and standards
Use at your own risk. For education and research only, not medical advice. Check the numbers and rules for the country you are in. They change. Before you rely on these cards, have a medical professional or a fire safety specialist review them.