Recovery Position

By Adem Lewis / in , , , /

Now, we’re going to cover the unconscious
breathing victim in the workplace and how to implement the recovery position safely.
Now in this scenario, we need to make sure our scene is safe, our gloves are on, and
our rescue mask’s available in the one-way valve, and then do a little bit of a detective
work. We know he’s laying here on the ground, so could he have just passed out? Sure. Could
he have low blood sugar? Yeah, for sure. Could he have a had seizure? Yes. But, there’s obviously
a tool on the actual workbench that has an open wire. So, is there a chance that he was
electrified? Absolutely. And that makes more sense than anything else. So we might even
want to look for fractures, burns, entry and accident areas where the electricity came
in and came back out. But the one thing that we know right away is when we assess this
person, they were unresponsive, but they were breathing normally, they had good skin color.
So this was not an immediate CPR situation. However, because there are unresponsive, they
did not respond to my taps and shouts, I’m still going to activate EMS. “You in the plaid
shirt, go call 911 and come back. I might need your help. Bring an AED with you, if
you find one.” And then before I even touch the person, what did I really need to look
out for? Seeing safety that still might be risk to me. He was electrocuted. Is the cable
still touching him? Is the wire still touching him? Is she still electrified? So we made
sure that anything carrying energy was de-energized, before I even even tapped the patient themselves.
Now once I assess them for breathing, and they are breathing normally, I need to help
protect that airway that’s being used to bring the air into their lungs, in case they vomit.
In case they have blood in their mouth. I don’t want it to go into their lungs, I want
it come out of their mouth, while we’re waiting for EMS to arrive. So, how do we do that?
The recover position is done like this: As long as there are no fractures to these bones
that I’m going to be moving, I can move them. As long as they don’t expect a serious neck
or back injury, I can move them. So, I will suspect any of that stuff and I’m not seeing
any deformities, so I’m going to go ahead and log role them. Now I bring the arm that’s
closes to me up, as I just did. I bring the leg that’s furthest away over and across his
ankles, and then I go underneath his head and neck, as I bring his wrist with his hip,
and I draw him towards me. I now bring the leg that’s closes to me up, like a kickstand,
relieve the pressure of his head from my hand, as I escape that out. I bring his arm underneath,
and then I kind of lean him towards the ground. I do this so that he won’t role all the way
over, but I do it so that there’s gravity working with us, now against him. I want fluids
that come into his mouth or up from his stomach to have come out of his mouth and on to the
ground. Not choking him, not obstructing the airway. The recovered position is a great
way to have this type of person lay while we’re waiting for EMS to respond. But at the
first point that we think this person stopped breathing or losing their pulse, we’re going
to role them right back on to their back, and we’re going to start CPR. If we think
they might be going into shock, we cover them with a sheet cutter blanket, and then we spend
the rest of our time reassessing them continuously for responsiveness, for airway breathing,
and circulation.

8 thoughts on “Recovery Position

  1. Loose cables makes as much sense. Really stretching to say the tool with an exposed wire is the cause. You didn't check to see if it's even plugged in. That should be done before your gloves and mask in 'your' scenario. You don't suspect a spinal with an electrocution and fall. That's pretty poor.  You should not have used this situation for this example there are to many variables that need to be addressed. If he's truly unconscious the arm he's laying on will not stay folded, unless there is severe muscle skeletal damage.

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