By John M. Collins
This ebook covers many subject matters which are an important to army making plans yet usually obtain simply passing point out in histories or briefings. Collins, a former military officer, stresses land geography, yet he doesn't stint oceans, the ambience, or interplanetary house. His discussions of city components are too short, given the expanding quantity of large-scale violence in towns because the finish of global warfare II.
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Press the fists into the abdomen with a quick backward and upward thrust (Figure 2-20). 2-24 C 2, FM 21-11 o Each thrust should be a separate and distinct movement. ★ NOTE Continue performing abdominal thrusts until the obstruction is expelled or the casualty becomes unconscious. ) • Applying CHEST THRUSTS. An alternate technique to the abdominal thrust is the chest thrust. This technique is useful when the casualty has an abdominal wound, when the casualty is pregnant, or when the casualty is so large that you cannot wrap your arms around the abdomen.
2-21 C2, FM 21-11 c. Upper airway obstruction may cause either partial or complete airway blockage. ★ (1) Partial airway obstruction. The casualty may still have an air exchange. A good air exchange means that the casualty can cough forcefully, though he may be wheezing between coughs. You, the rescuer, should not interfere, and should encourage the casualty to cough up the object on his own. A poor air exchange may be indicated by weak coughing with a high pitched noise between coughs. Additionally, the casualty may show signs of shock (for example, paleness of the skin, bluish or grayish tint around the lips or fingernail beds) indicating a need for oxygen.
Maintain the airway by keeping your other hand on the casualty’s forehead. Allow 5 to 10 seconds to determine if there is a pulse. (a) If a pulse is found and the casualty is breathing —STOP allow the casualty to breathe on his own. If possible, keep him warm and comfortable. (b) If a pulse is found and the casualty is not breathing, continue rescue breathing. ★ (c) If a pulse is not found, seek medically trained personnel for help. b. Rescue Breathing (mouth-to-mouth resuscitation) (081-831-1042).