An Unresponsive Casualty

Unresponsive but Breathing - The Recovery Position

The Recovery Position

During the Primary Survey, you will determine whether or not your casualty is unresponsive but breathing (unconscious) or unresponsive and NOT breathing, in which case they are dead and you will need to undertake CPR.

Why do we put the casualty in the Recovery Position ?

Our 'prime directive', as a first aider, is to ensure that the casualty's airway is clear and that they can breath.  Having checked that they ARE breathing during the primary survey, we need to ensure that this  continues.  The recovery position ... 

  • Helps maintain an open airway (head tipped back)
  • Allows any vomit to 'drain away'.
  • Prevents the tongue from blocking the airway
  • Relieves the pressure on their chest.

Placing a Casualty in the Recovery Position
The video below explains and demonstrates Placing a casualty in the Recovery Position.
Is it always safe to place a casualty in the Recovery Position ?
No.  If you are concerned that there may be a spinal injury, then it may be that, if it IS avoidable, you do not place the casualty in the recovery position as long as you can stay with them and safely maintain an open airway.  In cases such as this, you should avoid unnecessary movement of the neck and spine as much as possible.  If our 'prime directive' is to maintain the open airway to maintain breathing,  our 'secondary directive' should be to avoid inflicting further injury !   The video below explains this in more detail.
If the casualty stops breathing, however, then you have no option but to place the casualty in a position whereby you can perform effective CPR.  Should breathing stop, death is imminent, and so we reach the point where the prime directive is the only directive !  In this case, though, you would try to quickly, but carefully, place the casualty in a position to work on them.
For more information on the Recovery Position, please refer to pages 15 - 17 of your course reader.
© Copyright Simon Watson