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3. Press against the countertop, table or chair to shove your fist inward and upward.

To perform the Heimlich maneuver on a choking victim:

1. Stand behind the victim and wrap your arms around their waist.

2. If possible, tip the person lightly forward.

3. Make a fist with one hand and position it slightly above the person’s navel.

4. Grasp the fist with your other hand and with a quick, upward thrust press hard into the victim’s abdomen as if you were trying to lift that person up.

5. If the blockage isn’t dislodged, perform a total of five abdominal thrusts.

To perform the Heimlich maneuver on a pregnant woman or obese person:

1. Place your fist higher, at the base of the victim’s breastbone just above where it joins with the lowest ribs.

2. Grasp your fist with your other hand and quickly thrust inward and upward.

3. Repeat until the food or other blockage is dislodged.

Using an Automated External Defibrillator

Recent implementation of state public access defibrillation (PAD) laws and the Food and Drug Administration’s approval of “home use” AEDs have made AEDs available to rescuers in many places, including the following:

• Airports and airplanes

• Stadiums

• Health clubs

• Golf courses

• Schools

• Government buildings

• Offices

• Homes

The heart has four hollow chambers, two on the right that receive blood from the body and send it to the lungs for oxygen, and two on the left side that receive freshly oxygenated blood from the lungs and sent it throughout the body.

The upper right chamber of the heart has special pacemaker cells that control the rate at which the heart beats. If the coronary arteries surrounding the heart become diseased (atherosclerosis) either sufficient oxygen cannot get to the pacemaker cells or sufficient blood cannot get to the heart muscle resulting in a heart attack.

An AED is an electronic device that analyzes the heart rhythm and, if necessary, delivers an electrical shock, known as defibrillation. While many different models of AED exist, they all have the following elements in common:

• Power on/off mechanism

• Cable and pads (electrodes

• Analysis capability

• Defibrillation capability

• Prompts to guide you

• Battery operation for portability

Treatment:

1. Do not use an AED on a child under 1 year of age.

2. Perform CPR until the AED is available.

3. If the victim’s chest is wet or moist, dry it with a towel.

4. Remove the backing from the pads and apply them to the victim’s bare chest according to the diagram on the pads. For a child, use child pads if available.

5. Attach the cable to the AED.

6. Stand clear and analyze the heart rhythm.

7. Deliver a shock if indicated.

8. Perform CPR for five cycles.

9. Check the victim and repeat the steps above if needed.

10. Continue providing care until EMS personnel arrive.

Do not use an AED near water. Move the victim to a dry location. Remove any medicated adhesive patches, such as nicotine, birth control, nitroglycerin or pain medication, from the victim before using the AED. Avoid placing the pads directly over a pacemaker. These devices can often be seen or felt when the victim’s chest is exposed.

Automated External Defibrillator

Placement of AED Pads

Burns

Contents

Burns

1st, 2nd, 3rd Degree Burns

Treatment of burns is dependent on their severity: first degree, second degree, or third degree.

First-degree burns - only the outer layer of skin is affected and has not been burned through. Redness, swelling and pain are present. These type of burns can usually be treated at home, unless they involve the hands, feet, face, groin or buttocks, or a major joint.

First Degree Burn

Second-degree burns - the first layer of skin has been burned through and the second layer of skin, the dermis, has been burned. Blisters develop and the skin is intensely painful and reddened, swollen, and has a splotchy appearance. Second degree burns usually require medical treatment, especially if they occur on the hands, feet, face, groin or buttocks, or over