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NORTH KOREA COUNTRY HANDBOOK

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The normal adult male heart rate is between 70 to 80 beats/ minute, for a<br />

female the rate is 75 to 80, and for a young child 82 to 180. However,<br />

excitement, exercise, or fever may increase the rate. Be sure to note<br />

whether the pulse is weak, full, bounding, or irregular.<br />

Look and Listen for Breathing<br />

Look for the rise and fall of the chest. If it is cold, there may be frost on<br />

the casualty’s breath.<br />

Place your ear near their mouth and listen for breathing. Note whether<br />

the breathing is regular, rapid, shallow, or shows signs of difficulty.<br />

Check airway for obstructions.<br />

Check for Wounds and Injuries<br />

Look at the casualty from head to foot checking for bleeding, open<br />

wounds, external signs of internal injuries and other problems. Remember<br />

that many wounds, particularly bullet wounds, have both an entrance<br />

and exit hole; check for both.<br />

CPR<br />

Artificial Respiration<br />

If the casualty is not breathing check airway and remove any obstructions<br />

using hooked fingers.<br />

Mouth-to-Mouth Method. With patient lying on back, hold jaw well<br />

open while bending head back to prevent tongue from falling and blocking<br />

airway. Hold nostrils closed with other hand. Place mouth over<br />

patient’s mouth and exhale. Watch for chest to rise as you blow gently<br />

into patient’s lungs. If chest does not rise, perform an abdominal thrust<br />

to remove any obstruction (the Heimlich maneuver). Take a breath<br />

while watching for fall of casualty’s exhale.<br />

For a child: Do not blow. Exhale normally, or in the case of a baby, in<br />

gentle puffs. Blowing forcefully into a child’s mouth can damage delicate<br />

lungs.<br />

F-2

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