Service manual

STP 11-25R13-SM-TG
T - 28
T-36. First Aid Procedures for Shock Victims.
a. Before touching a victim of electric shock, the circuit should be deenergized or the victim freed
from the live conductor by using some suitable nonconductive object, such as a rope, dry wooden stick,
or insulated pole. Artificial resuscitation procedures appropriate to the victim's condition should be
started immediately. Electrical workers shall be instructed in the mouth-to-mouth, mouth-to-nose,
backpressure arm-lift, and external heart massage methods of resuscitation. Training of personnel not
familiar with these methods shall be arranged with the safety specialist or the medical department.
b. Cardiopulmonary resuscitation (CPR) standard techniques should be taught by instructors
certified in this field. Classes should include practice on a mannequin. Standards for the performance of
CPR as recommended by the American Heart Association can be found in the Supplement to JAMA,
Volume 227, Number 7, 18 Feb 1974. The following abbreviated instructions are provided for reference
purposes only. Further instructions and certification information are available from your local heart
association, or from the AMERICAN HEART ASSOCIATION, 44 E 23RD ST, NY 10010.
(1) If a person has stopped breathing, or his heart has stopped beating, emergency first aid
procedures should be started at once. If a person is not breathing, do the following:
(a) Place victim on his back. Place on a firm surface such as the floor or ground, not on a bed or
sofa.
(b) Tilt head straight back. Extend the neck up as far as possible. (This will automatically keep the
tongue out of the airway.)
(c) Place mouth. Open your mouth wide and place it tightly over the victim's mouth. At the same
time, pinch the victim's nostrils shut, or close the nostrils with your cheek, or close the victim's mouth and
place your mouth over his nose. For babies and small children, cover both the mouth and the nose of the
victim with your mouth.
(d) Blow. Blow into the victim's mouth, or nose, with a smooth steady action until the victim's chest
is seen to rise.
(e) Remove mouth. Allow the victim to exhale passively and watch the victim's chest fall.
(f) Repeat. This cycle should be continued at the rate of one breath each 5 seconds.
NOTE: If you are not getting air exchange, quickly recheck position of head and
adequacy of seal around the mouth. If attempts to ventilate are still
unsuccessful, sweep fingers through the mouth and into the throat to remove
any foreign bodies. If the rescuer is unable to dislodge any foreign body, turn
the victim on his side and give several sharp blows between the shoulder blades
to jar it free. After four quick breaths, stop and determine if heart is beating by
gently feeling the carotid pulse. If the heart is beating, return to the mouth-to-
mouth resuscitation and continue until breathing starts or until a physician tells
you to stop.
(2) If the carotid pulse is absent or questionable, start artificial circulation by external cardiac
compression.
(a) Place the heel of one hand on the lower one half of the breastbone and the other hand on top of
the first.
(b) Thrust downward from your shoulders with enough force to depress the breastbone about 1-1/2
to 2 inches.