Even if you have recent CPR training and are confident of your abilities, you still need to assess the person to see if he/she is responsive and move him/her onto his/her back if he/she is not and shows no sign of neck/head/spine injury. Try to call emergency services before starting chest compressions and look for someone to trade off with.  If performing CPR on a small child between the ages of one and eight years, only use one hand to perform chest compressions. The rate of chest compressions is the same for both adults and children (roughly 100 per minute). For children between the ages of one and eight years, you will need to depress the sternum (chest bone) 1/3 to 1/2 of the depth of the child's chest. If you have recent CPR training, perform only 30 chest compressions before moving on to the breathing assistance phase of CPR. If you're trained in CPR, confident of your abilities (not rusty) and you've performed 30 chest compressions, then proceed to open the person's airway using the head-tilt, chin-lift technique, or the jaw-thrust if you suspect a neck/head/spine injury. Put your palm on his forehead and gently tilt (extend) his head back a little. Then with your other hand, gently lift the chin forward to open up his airway, making it easier to give him oxygen.  Take five to 10 seconds to check for normal breathing. Look for chest motion, listen for breathing, and see if you can feel the victim's breath on your cheek or ear. Note that gasping is not considered to be normal breathing. If he is already breathing, no breathing assistance is needed. However, If he still is not breathing, then proceed to the mouth-to-mouth breathing part of CPR. To perform the jaw-thrust technique, sit above the person's head. Place one hand on each side of the person's jaw and lift the jaw so that it is jutting forward, as though the person has an underbite. Once the person's head is tilted and his/her chin lifted, make sure his/her mouth is free of any objects blocking their airway. Then, use one hand to pinch the victim's nostrils closed and cover his/her mouth completely with your own mouth. Form a seal with your mouth so that no air can escape while you attempt to give the victim a rescue breath.  You should be aware that mouth-to-mouth CPR can transfer infectious viral and bacterial diseases between the victim and the rescuer. Before contacting his/her mouth with yours, wipe away any vomit, mucus or excess saliva that may be present. Rescue breathing can also be mouth-to-nose breathing if the person's mouth is seriously injured or can't be opened. Once your mouth is over the other person's, forcefully breathe into his mouth for at least one full second and watch his chest to determine if it rises a little or not. If it does, give the second breath, if it doesn't then repeat the head-tilt, chin-lift maneuver and try again. Don't be too timid or grossed out because a person's life is in your hands.  Although there's carbon dioxide in your breath when you exhale, there's still enough oxygen to benefit a victim during CPR. Again, the purpose isn't always to revive him or continue indefinitely, but to buy some time for him until paramedics arrive. Approximately 30 chest compressions and two rescue breaths is considered to be one cycle of conventional CPR for both adults and children. If performing CPR on a child between the ages of one and eight years, you can use gentler breaths to inflate their lungs. Follow the two rescue breaths with another round of 30 chest compressions and two more rescue breaths. Repeat as needed until the victim becomes responsive or until emergency medical personnel can take over. Remember that chest compressions attempt to restore some sort of circulation, while the rescue breathing provides some (but not much) oxygen to prevent tissues, particularly the brain, from dying.
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One-sentence summary -- Follow the same initial procedures as hands-only CPR. Proceed to open the airway. Place your mouth over the victim's mouth. Start with two rescue breaths. Repeat cycles as needed.


If the skin flap is still attached to the skin tear, use a damp cotton tip to gently ease it back into place. You can also use tweezers or a gloved finger to do this. This will help the skin tear to heal properly. Petroleum jelly gauze is a good option for skin tears as it will protect it and keep it moist so it can heal. Petroleum jelly gauze comes in strips. Use scissors to cut the gauze to fit the area. Then, apply the gauze over the skin tear, leaving a one-inch border around the skin tear. You can get petroleum jelly gauze online or at your local drugstore. Kerlix bandages are made of thick gauze. They will help to protect the skin tear and keep it moist. Use paper tape to the bandage to keep the gauze in place. Make sure you only apply tape to the gauze, not to the skin. You will need to change out the Kerlix bandage every one to two hours to ensure it does not dry to the skin tear. Change the bandages on the skin tear once to twice a day. Soak the bandages in saline solution to make removing them easier, especially if they have an adhesive. Lift the bandages off and away from the direction of the attached skin flap. Clean the skin tear with water before you apply a new bandage. You should also check the skin tear for any signs of infection, such as swelling, odor, pus, or heat coming from the skin tear. If you suspect the skin tear is infected, or it does not appear to be getting better, see a doctor.
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One-sentence summary --
Tuck the skin flap over the skin tear, if possible. Use petroleum jelly gauze. Wrap the area with a Kerlix bandage. Replace the bandages regularly.